Organization Active NPI

Columbia Radiology Imaging Services, LLC

  • Diagnostic Radiology Physician
  • Columbia, MO
National Provider Identifier
1861587149
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COLUMBIA RADIOLOGY IMAGING SERVICES, LLC
Practice address
311 N Keene St
Columbia, MO 65201-6623
Phone
(573) 442-1788
Fax
(573) 442-1789
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Debbie Johnson, CPC
Title
Director of Patient Financial Servi
Phone
(573) 442-1788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

311 N Keene St
Columbia, MO 65201-6623

Mailing address

311 N Keene St
Columbia, MO 65201-6623
Phone (573) 442-1788

Other names 1

  • Advanced Radiology of Columbia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040820000632 MO Part B Supplier - Clinic/Group Practice 8224002886 Receives reassigned benefits from 4 practitioners
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

311 N Keene St
Columbia, MO 65201
Phone (573) 442-1788

Practitioners & affiliated clinicians

Practitioners 4

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1861587149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623",
            "telephone_number": "573-442-1788",
            "fax_number": "573-442-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623",
            "telephone_number": "573-442-1788",
            "fax_number": "573-442-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA RADIOLOGY IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT FINANCIAL SERVI",
        "authorized_official_telephone_number": "573-442-1788",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Radiology of Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.