Professional Imaging Columbia, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PROFESSIONAL IMAGING COLUMBIA, LLC

Practice address

1400 Forum Blvd Ste 1E
Columbia, MO 65203-2094

Phone

(999) 999-9999

NPI assigned

Nov 7, 2025

Last updated

May 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Brooks

Title

Managing Partner

Phone

(314) 324-3728

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Cizek, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1477544724
  NPD
• Harry Gus Greditzer IV, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1174753982
  NPD
• Alexandra Georges Jennings, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1972619633
  NPD
• James Douglas Schoen, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1053392324
  NPD
• David W Wu, M.D.

  • Diagnostic Radiology Physician
  • McHenry, IL
  • NPI 1477538874
  NPD

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1467322198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 OLD DES PERES RD STE 30",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311873",
            "telephone_number": "314-743-2000",
            "fax_number": "314-743-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FORUM BLVD STE 1E",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032094",
            "telephone_number": "999-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL IMAGING COLUMBIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "314-324-3728"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Columbia, MO
• Providers in Columbia, MO by specialty
• Radiology Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.