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Organization
PROFESSIONAL IMAGING COLUMBIA, LLC
Active
Organization
PROFESSIONAL IMAGING COLUMBIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BROOKS (MANAGING PARTNER)
(314) 324-3728
Entity
Organization
Contact information
Practice address
1400 FORUM BLVD STE 1E, COLUMBIA, MO 65203-2094
(999) 999-9999
Mailing address
1050 OLD DES PERES RD STE 30, SAINT LOUIS, MO 63131-1873
(314) 743-2000
(314) 743-2005
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
NULL
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/07/2025
Last updated
05/20/2026
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