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417 SPORTS ADVANCED IMAGING LLC
NPI 1225906597
Radiology - Diagnostic Radiology in Springfield, MO

Active since October 28, 2025
3328 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 771-3147 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 417 Sports Advanced Imaging Llc NPPES

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

417 SPORTS ADVANCED IMAGING LLC (NPI 1225906597) is a healthcare organization registered as a diagnostic radiology in Springfield, Missouri and active in the NPI registry since October 2025. The organization lists Eric Gifford, Owner, as its authorized official.

NPPES Registry Identity

NPI1225906597
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business Name417 SPORTS ADVANCED IMAGING LLC
Location Address3328 S NATIONAL AVESpringfield, MO 65807-7305
Mailing Address3328 S National AveSpringfield, MO 65807-7305
Phone(417) 771-3147
Organization SubpartNo
Authorized OfficialEric GiffordOwner · (417) 771-3147
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1225906597 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.
3328 S NATIONAL AVE, Springfield, MO 65807
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC M GIFFORD M.D.
Family Medicine (Sports Medicine)
3328 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 771-3147
MERCY HOSPITAL SPRINGFIELD
Durable Medical Equipment & Medical Supplies
3328 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 820-7115
NATHAN ISAAC GRAFF NP-C, AT
Nurse Practitioner (Family)
3328 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 771-3147
417 SPORTS MEDICINE AND ORTHOPEDICS LLC
Family Medicine (Sports Medicine)
3328 S NATIONAL AVE
SPRINGFIELD, MO 65807
Greene County (417) 771-3147

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 417 Sports Advanced Imaging LLC's NPI number?

The NPI number for 417 Sports Advanced Imaging LLC is 1225906597. It was assigned to this organization in the NPPES registry on October 28, 2025.

Where is 417 Sports Advanced Imaging LLC located?

417 Sports Advanced Imaging LLC is located at 3328 S National Ave, Springfield, MO 65807. The listed phone number is (417) 771-3147.

What is 417 Sports Advanced Imaging LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for 417 Sports Advanced Imaging LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.