Organization Active NPI

Imaging Partners of Missouri, LLC

  • Radiology Clinic/Center
  • Chesterfield, MO
National Provider Identifier
1285649095
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
LC0571429 Issued in MO
Legal business name
IMAGING PARTNERS OF MISSOURI, LLC
Practice address
14825 N Outer 40 Ste 120
Chesterfield, MO 63017-2152
Phone
(636) 536-5071
Fax
(636) 536-5078
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael C Chabot, D.O.
Title
Director
Phone
(636) 536-5071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X LC0571429 MO Primary

Addresses

Primary practice location

14825 N Outer 40 Ste 120
Chesterfield, MO 63017-2152

Mailing address

14825 N. Outer Forty Road, Suite 120
Chesterfield, MO 63017-2152
Phone (636) 536-5071

National Provider Directory

National Provider Directory

Locations

14825 North Outer 40 Rd
Ste 120
Chesterfield, MO 63017
Phone (636) 536-5071

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285649095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N. OUTER FORTY ROAD, SUITE 120",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-536-5071",
            "fax_number": "636-536-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40 STE 120",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-536-5071",
            "fax_number": "636-536-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING PARTNERS OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHABOT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "636-536-5071",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MO",
            "license": "LC0571429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.