# ATLAS DIAGNOSTIC IMAGING, LLC

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

## Provider details

- **NPI number:** 1972258770
- **Authorized official:** SHAKEEL AHMED MD (OWNER/PRESIDENT)
- **Authorized official phone:** (618) 239-0678

## Contact information

- **Practice address:** 10012 MANCHESTER RD STE 1C, SAINT LOUIS, MO 63122-1826
- **Practice address phone:** (618) 239-0678
- **Mailing address:** 10012 MANCHESTER RD, SAINT LOUIS, MO 63122-1826
- **Mailing address phone:** (314) 462-9100
- **Mailing address fax:** (618) 235-0471

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2022
- **Last updated:** 02/21/2022
