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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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