Organization Active NPI

Imaging Partners of St. Peters, LLC

  • Radiology Clinic/Center
  • Saint Peters, MO
National Provider Identifier
1326335019
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
LC1142668 Issued in MO
Legal business name
IMAGING PARTNERS OF ST. PETERS, LLC
Practice address
112 Piper Hill Dr
Suite 5
Saint Peters, MO 63376-1690
Phone
(636) 229-4247
Fax
(636) 229-4248
NPI assigned
Jul 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Mr. Jim P Kidd
Title
Business Manager
Phone
(636) 229-4239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X LC1142668 MO Primary

Addresses

Primary practice location

112 Piper Hill Dr
Suite 5
Saint Peters, MO 63376-1690

Mailing address

112 Piper Hill Dr
Suite 5
Saint Peters, MO 63376-1690
Phone (636) 229-4247

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

112 Piper Hill Dr
Ste 5
Saint Peters, MO 63376
Phone (636) 229-4247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1326335019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PIPER HILL DR",
            "address_2": "SUITE 5",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761690",
            "telephone_number": "636-229-4247",
            "fax_number": "636-229-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PIPER HILL DR",
            "address_2": "SUITE 5",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761690",
            "telephone_number": "636-229-4247",
            "fax_number": "636-229-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING PARTNERS OF ST. PETERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "636-229-4239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MO",
            "license": "LC1142668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.