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FT. JESSE IMAGING CENTER LLC
NPI 1245287143
Clinic/Center - Radiology in Normal, IL

Active since May 27, 2006
2200 FORT JESSE RD, SUITE 130, NORMAL, IL 61761(309) 454-5552(309) 454-5452 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2025, Mar 16, 2021 (2 updates tracked since 2021).

About Ft. Jesse Imaging Center Llc NPPES

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

FT. JESSE IMAGING CENTER LLC (NPI 1245287143) is a healthcare organization registered as a radiology in Normal, Illinois and active in the NPI registry since May 2006. The organization lists Amy Stout, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1245287143
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameFT. JESSE IMAGING CENTER LLC
Location Address2200 FORT JESSE RD, SUITE 130Normal, IL 61761-6286
Mailing Address2200 Fort Jesse Rd, Suite 130Normal, IL 61761-6286 · (309) 454-5552 · Fax (309) 454-5452
Phone(309) 454-5552
Fax(309) 454-5452
Organization SubpartNo
Authorized OfficialAmy StoutPresident/ceo · (615) 261-2306
Enumeration DateMay 27, 2006
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1245287143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License✔ Licensed in IL · 9256804
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X · License 9256804 (IL)
2200 FORT JESSE RD, Normal, IL 61761
Open in Google Maps ↗

Other Identifiers 1

Medicaid46015604001IL

Other Providers at the Same Location NPPES 20

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

ROBIN POSTON OT
Occupational Therapist
2200 FORT JESSE RD, SUITE 250
NORMAL, IL 61761
McLean County (309) 454-1616
MR. JASON N RICHARDS OT
Occupational Therapist
2200 FORT JESSE RD
NORMAL, IL 61761
McLean County (309) 888-9800
DR. DANIEL L HA M.D.
Radiology (Body Imaging)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
DR. AJAY R MALPANI M.D.
Radiology (Nuclear Radiology)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
DR. CARLOS P CAPATI M.D.
Radiology (Diagnostic Radiology)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
DR. DAVID KOCH M.D.
Radiology (Body Imaging)
2200 FORT JESSE RD, SUITE 280
NORMAL, IL 61761
McLean County (309) 452-1788
MS. MALLORY R HIPPLER COUNSELOR
Counselor (Professional)
2200 FORT JESSE RD
NORMAL, IL 61761
McLean County (309) 661-6290
JESSICA JOHANN
Nurse Practitioner
2200 FORT JESSE RD, 110
NORMAL, IL 61761
McLean County (309) 661-6290

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 Ft. Jesse Imaging Center LLC's NPI number?

The NPI number for Ft. Jesse Imaging Center LLC is 1245287143. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Ft. Jesse Imaging Center LLC located?

Ft. Jesse Imaging Center LLC is located at 2200 Fort Jesse Rd Suite 130, Normal, IL 61761. The listed phone number is (309) 454-5552.

What is Ft. Jesse Imaging Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Ft. Jesse Imaging Center LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.