Chesterfield Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

LC001461910 Issued in MO

Legal business name

CHESTERFIELD IMAGING, LLC

Practice address

14825 N Outer 40 Rd
Suite 110
Chesterfield, MO 63017-2152

Phone

(636) 449-3990

Fax

(636) 449-3997

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John B Schranck Sr.

Title

Business Director

Phone

(636) 449-3990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1982073656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40 RD",
            "address_2": "SUITE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-449-3990",
            "fax_number": "636-449-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40 RD",
            "address_2": "SUITE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-449-3990",
            "fax_number": "636-449-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERFIELD IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "SCHRANCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "636-449-3990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MO",
            "license": "LC001461910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesterfield ASC, LLC
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• Chesterfield Counseling Associates, LLC
• Chesterfield Dental Studio, LLC
• Chesterfield Internal Medicine and Rheumatology, LLC
• Chesterfield Medcenter LLC
• Chesterfield Orthopedics, PC
• Chesterfield Pediatrics
• Chesterfield Plastic & Reconstructive Surgery LLC

• Radiology Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, 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 Sep 23, 2015; 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.