# SPECIALT MRI, LLC

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

## Provider details

- **NPI number:** 1811740301
- **Authorized official:** MR. JERRY GE R.T.(R)(MR)(ARRT) (MANAGING MEMBER)
- **Authorized official phone:** (636) 333-1391

## Contact information

- **Practice address:** 1823 SMIZER STATION RD, FENTON, MO 63026-2781
- **Practice address phone:** (636) 333-1391
- **Practice address fax:** (636) 333-1343
- **Mailing address:** 1823 SMIZER STATION RD, FENTON, MO 63026-2781
- **Mailing address phone:** (636) 764-5194
- **Mailing address fax:** (636) 333-1343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | — |

## Other

- **Enumeration date:** 04/08/2024
- **Last updated:** 07/03/2026