# SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SNI Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790814465
- **Authorized official:** HERBERT MARK CRABTREE MD (DIRECTOR)
- **Authorized official phone:** (417) 885-3888

## Contact information

- **Practice address:** 2900 S NATIONAL AVE, SPRINGFIELD, MO 65804-3634
- **Practice address phone:** (417) 885-3888
- **Practice address fax:** (417) 881-7638
- **Mailing address:** PO BOX 4024, SPRINGFIELD, MO 65808-4024
- **Mailing address phone:** (417) 885-3888
- **Mailing address fax:** (417) 881-7638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RM1200X | Magnetic Resonance Imaging (MRI) Internal Medicine Physician | — | NULL | — |
| 207RM1200X | Magnetic Resonance Imaging (MRI) Internal Medicine Physician | — | — | — |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085N0700X | Neuroradiology Physician | — | NULL | Yes |
| 2085N0700X | Neuroradiology Physician | — | — | Yes |
| 2085P0229X | Pediatric Radiology Physician | — | NULL | — |
| 2085P0229X | Pediatric Radiology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 03/29/2023
