Organization
VISIONARY IMAGING LLC
Active
Organization
VISIONARY IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R FRENZ (MANAGING MEMBER/OWNER)
(888) 275-9737
Entity
Organization
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(800) 354-1088
(314) 631-4491
Mailing address
6245 LEMAY FERRY RD, SAINT LOUIS, MO 63129-2805
(800) 354-1088
(314) 845-5669
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161149002
—
AR
05
—
186488601
—
TX
05
—
200063580A
—
OK
05
—
509368601
—
MO
01
—
DE0857
MEDICARE RAILROAD
OK
01
—
DF5273
MEDICARE RAILROAD
IL
01
—
DF5867
MEDICARE RAILROAD
MO
01
—
DG3823
MEDICARE RAILROAD
TX
Enumeration date
06/16/2005
Last updated
07/21/2022
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