{"npi":"1619081940","type":"NPI-2","status":"active","name":{"display":"Professional Imaging LLC","other":[],"organization_name":"PROFESSIONAL IMAGING LLC","authorised_official":"Nicole Brooks"},"specialty":{"primary_taxonomy":"261QR0200X","primary_taxonomy_description":"Radiology Clinic","slug":"radiology-clinic","schema_org_specialty":"Radiography","all":[{"code":"2085B0100X","description":"Body Imaging Physician","primary":false,"state":null,"license":null},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":null,"license":null},{"code":"261QR0200X","description":"Radiology Clinic","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1050 OLD DES PERES RD STE 30","city":"SAINT LOUIS","state":"MO","postal_code":"631311873","country_code":"US","phone":"3147432000","fax":"3147432005"},{"purpose":"MAILING","street_1":"1050 OLD DES PERES RD STE 30","city":"SAINT LOUIS","state":"MO","postal_code":"631311873","country_code":"US","phone":"3147432000","fax":"3147432005"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"198695","state":"MO","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"7935693","state":null,"issuer":"AETNA"},{"type_code":"01","label":"Other","value":"686591","state":null,"issuer":"HEALTHLINK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-17","last_updated":"2025-11-07","_meta":{"source":"NPPES","snapshot_date":"2025-11-07","doc_url":"https://findmynpi.com/api"}}