# EMERSON ROAD IMAGING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emerson Road Imaging Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851632566
- **Authorized official:** MS. KELLY A WOLTERING (OPERATIONS MANAGER)
- **Authorized official phone:** (314) 991-4674

## Contact information

- **Practice address:** 633 EMERSON RD, SAINT LOUIS, MO 63141-6739
- **Practice address phone:** (314) 991-4674
- **Mailing address:** 633 EMERSON RD, SAINT LOUIS, MO 63141-6739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2013
- **Last updated:** 07/25/2014