Active NPI
Professional Imaging LLC
- Radiology Clinic/Center
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- PROFESSIONAL IMAGING LLC
- Practice address
- 1050 Old Des Peres Rd Ste 30
Saint Louis, MO 63131-1873 - Phone
- (314) 743-2000
- Fax
- (314) 743-2005
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nicole L Brooks
- Title
- Director
- Phone
- (314) 324-3728
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
1050 Old Des Peres Rd Ste 30
Saint Louis, MO 63131-1873
Mailing address
1050 Old Des Peres Rd Ste 30
Saint Louis, MO 63131-1873
Phone (314) 743-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198695 | Other | MO | BCBS |
| 7935693 | Other | AETNA | |
| 686591 | Other | HEALTHLINK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1084941 | Professional Imaging | Certificate of waiver | Jun 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
3 E Armour Blvd
Kansas City, MO 64111
Phone (816) 601-4440
777 S New Ballas Rd
Lbby 5
Saint Louis, MO 63141
Phone (314) 238-6901
1050 Old des Peres Rd
Ste 30
Saint Louis, MO 63131
Phone (314) 743-2000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Saint Louis, MO
- NPI 1235130345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762473600000",
"number": "1619081940",
"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": "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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "314-324-3728",
"authorized_official_name_prefix": "Ms."
},
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "198695",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7935693",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "686591",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
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- Professional Athletic Orthopedics
- Professional Athletic Rehabilitation, LLC
- Professional Healthcare Providers, LLC
- Professional Internal Medicine LLC
- Professional Physicians Pain Services, LLC
- Professional Revenue Management LLC
- Professional Touch Salon Inc
- Professionals in OB-GYN, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.