# PROFESSIONAL IMAGING COLUMBIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467322198
- **Authorized official:** NICOLE BROOKS (MANAGING PARTNER)
- **Authorized official phone:** (314) 324-3728

## Contact information

- **Practice address:** 1400 FORUM BLVD STE 1E, COLUMBIA, MO 65203-2094
- **Practice address phone:** (999) 999-9999
- **Mailing address:** 1050 OLD DES PERES RD STE 30, SAINT LOUIS, MO 63131-1873
- **Mailing address phone:** (314) 743-2000
- **Mailing address fax:** (314) 743-2005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2025
- **Last updated:** 05/20/2026