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ADVANCED RADIOLOGY LLC
NPI 1093870982
Radiology - Diagnostic Radiology in Osage Beach, MO

Active since December 22, 2006CLIA Certified · 2 labs
1037 PALISADES BLVD, SUITE 7, OSAGE BEACH, MO 65065(573) 746-7010(573) 746-7011 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Radiology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED RADIOLOGY LLC (NPI 1093870982) is a healthcare organization registered as a diagnostic radiology in Osage Beach, Missouri and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Greg Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093870982
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameADVANCED RADIOLOGY LLC
Location Address1037 PALISADES BLVD, SUITE 7Osage Beach, MO 65065-3340
Mailing Address311 N Keene StColumbia, MO 65201-6623 · (573) 442-1788 · Fax (573) 442-1789
Phone(573) 746-7010
Fax(573) 746-7011
Organization SubpartNo
Authorized OfficialGreg JohnsonCfo · (573) 442-1788
Enumeration DateDecember 22, 2006
Last NPPES UpdateFebruary 27, 2008
✔ NPI 1093870982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1037 PALISADES BLVD, Osage Beach, MO 65065
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Radiology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Advanced Radiology LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Samir Ashraf, D.O.
Diagnostic Radiology
NPI 1912138926
ONE HOSPITAL DR
Columbia, MO 65212
(573) 884-7770
✔ PECOS✔ Accepts Medicare60 mi
Neal Meyer, M.D.
Diagnostic Radiology
NPI 1013921667
311 N KEENE ST
Columbia, MO 65201
(573) 442-1788
✔ PECOS✔ Accepts Medicare62 mi
Mark Monroe, M.D.
Diagnostic Radiology
NPI 1740294396
311 N KEENE ST
Columbia, MO 65201
(573) 442-1788
✔ PECOS✔ Accepts Medicare62 mi
Michael Butterfield, M.D.
Interventional Radiology
NPI 1770815193
16001 W 9 MILE RD
Southfield, MI 48075
(248) 849-3000
✔ PECOS✔ Accepts Medicare583 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2036546

Advanced Radiology, LLC · Osage Beach, MO
Active · expires Feb 8, 2028
CLIA Number26D2036546
Laboratory TypeOutpatient Radiology Cent
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorNeal Meyer
Laboratory Phone(573) 746-7010
Laboratory LocationAdvanced Radiology, LLC1037 Palisades Blvd, Suites 7 & 8, Osage Beach, MO 65065
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D1075443

Advanced Radiology Of Columbia · Columbia, MO
Active · expires Oct 18, 2027
CLIA Number26D1075443
Laboratory TypeOther
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorNeal Meyer
Laboratory Phone(573) 442-1788
Laboratory LocationAdvanced Radiology Of Columbia311 N Keene St, Columbia, MO 65201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Radiology LLC's NPI number?

The NPI number for Advanced Radiology LLC is 1093870982. It was assigned to this organization in the NPPES registry on December 22, 2006.

Where is Advanced Radiology LLC located?

Advanced Radiology LLC is located at 1037 Palisades Blvd Suite 7, Osage Beach, MO 65065. The listed phone number is (573) 746-7010.

What is Advanced Radiology LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Advanced Radiology LLC enrolled in Medicare?

Yes. Advanced Radiology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Radiology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Radiology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (3) and Interventional Radiology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Radiology LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Advanced Radiology LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Advanced Radiology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Radiology LLC was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.