Specialt MRI, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

SPECIALT MRI, LLC

Practice address

1823 Smizer Station Rd
Fenton, MO 63026-2781

Phone

(636) 333-1391

Fax

(636) 333-1343

NPI assigned

Apr 8, 2024

Last updated

Jul 3, 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

Mr. Jerry Ge, R.T.(R)(MR)(ARRT)

Title

Managing Member

Phone

(636) 333-1391

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

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 13

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.

• Noaman W Siddiqi, MD

  • Diagnostic Radiology Physician
  • Bridgeton, MO
  • NPI 1609823558
  Medicare reassignment NPD
• Stephen Carter, MD

  • Diagnostic Radiology Physician
  • Bridgeton, MO
  • NPI 1558868356
  NPD
• Clelland James-Henry Chatman, M.D.

  • Diagnostic Radiology Physician
  • Bridgeton, MO
  • NPI 1174933022
  NPD
• Robert M Fischer, M.D.

  • Diagnostic Radiology Physician
  • Bridgeton, MO
  • NPI 1013167600
  NPD
• Robert J Gresick Jr., MD

  • Diagnostic Radiology Physician
  • Bridgeton, MO
  • NPI 1992746937
  NPD
• Rashmi Jain, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1962750265
  NPD
• Justin Brent Lendermon, M.D.

  • Diagnostic Radiology Physician
  • Bridgeton, MO
  • NPI 1558896894
  NPD
• Thomas Schroyer, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1306827829
  NPD
• Matthew W Stadnyk, MD

  • Diagnostic Radiology Physician
  • Bridgeton, MO
  • NPI 1750313094
  NPD
• David Herschel Berns, MD

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1518924737
  NPD
• Scott D Flamm, M.D.

  • Diagnostic Radiology Physician
  • Cleveland, OH
  • NPI 1265422604
  NPD
• John A Mattingly, MD

  • Diagnostic Radiology Physician
  • Swansea, IL
  • NPI 1952355786
  NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1811740301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 SMIZER STATION RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262781",
            "telephone_number": "636-764-5194",
            "fax_number": "636-333-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 SMIZER STATION RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262781",
            "telephone_number": "636-333-1391",
            "fax_number": "636-333-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALT MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "GE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "636-333-1391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.T.(R)(MR)(ARRT)"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Marie Solomon, AGPCNP
• Solutions Lab and Health Care Services LLC
• Zachary Sommermeyer, PT, DPT, GCS
• Amber Lee Sorcic, DC
• South County Anesthesia Associates, LTD (Pro Pain)
• Angela Rae Sqrow, WHNP
• Hari Thanigaraj Srihari, M.D.
• SSM Health Care St Louis (SSM Health St Clare Fenton)
• SSM Health Care St. Louis (SSM Health St. Clare Hospital - Fenton)
• SSM Medical Group (Suburban West Internal Medicine)

• Magnetic Resonance Imaging (MRI) Clinic/Center in Fenton, MO
• Providers in Fenton, MO by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.