Organization Active NPI

Atlas Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1972258770
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ATLAS DIAGNOSTIC IMAGING, LLC
Practice address
10012 Manchester Rd Ste 1C
Saint Louis, MO 63122-1826
Phone
(618) 239-0678
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Shakeel Ahmed, MD
Title
Owner/President
Phone
(618) 239-0678

Specialties & licenses 1

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

Addresses

Primary practice location

10012 Manchester Rd Ste 1C
Saint Louis, MO 63122-1826

Mailing address

10012 Manchester Rd
Saint Louis, MO 63122-1826
Phone (314) 462-9100

National Provider Directory

National Provider Directory

Locations

10012 Manchester Rd
Ste 1C
Saint Louis, MO 63122
Phone (618) 239-0678

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1972258770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221826",
            "telephone_number": "314-462-9100",
            "fax_number": "618-235-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 MANCHESTER RD STE 1C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221826",
            "telephone_number": "618-239-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS DIAGNOSTIC IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHAKEEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "618-239-0678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.