Organization
THERAPEUTIC AND DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G. LANDGRAF (PRACTICE MANAGER)
(314) 984-8827
Entity
Organization
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 984-8827
(314) 985-1001
Mailing address
9930 WATSON RD, SAINT LOUIS, MO 63126-1845
(314) 984-8827
(314) 985-1001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507429306
—
MO
Enumeration date
07/19/2007
Last updated
07/29/2025
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