Organization
SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.
Active
Other names
SNI Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT MARK CRABTREE MD (DIRECTOR)
(417) 885-3888
Entity
Organization
Contact information
Practice address
2900 S NATIONAL AVE, SPRINGFIELD, MO 65804-3634
(417) 885-3888
(417) 881-7638
Mailing address
PO BOX 4024, SPRINGFIELD, MO 65808-4024
(417) 885-3888
(417) 881-7638
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
Primary
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141320300
DEPARTMENT OF LABOR OWCP
KS
05
—
143549002
—
AR
01
—
37110
ENCOMPAS
MO
01
—
502277007
GTE VERISON DATA SERVICES
MO
01
—
5C687
HEALTH ADVANTAGE
AR
Enumeration date
03/05/2007
Last updated
03/29/2023
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