PROFESSIONAL IMAGING COLUMBIA, LLC
NPI 1467322198
Clinic/Center - Radiology in Columbia, MO

Active since November 07, 2025CLIA Certified · 2 labs
1400 FORUM BLVD STE 1E, COLUMBIA, MO 65203(999) 999-9999 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2026, Nov 7, 2025 (2 updates tracked since 2025).

About Professional Imaging Columbia, Llc NPPES

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

PROFESSIONAL IMAGING COLUMBIA, LLC (NPI 1467322198) is a healthcare organization registered as a radiology in Columbia, Missouri and active in the NPI registry since November 2025. The organization holds 2 active CLIA laboratory certificates and lists Nicole Brooks, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1467322198
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NamePROFESSIONAL IMAGING COLUMBIA, LLC
Location Address1400 FORUM BLVD STE 1EColumbia, MO 65203-2094
Mailing Address1050 Old Des Peres Rd Ste 30Saint Louis, MO 63131-1873 · (314) 743-2000 · Fax (314) 743-2005
Organization SubpartNo
Authorized OfficialNicole BrooksManaging Partner · (314) 324-3728
Enumeration DateNovember 7, 2025
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1467322198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
1400 FORUM BLVD STE 1E, Columbia, MO 65203

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 26D2339593

Professional Imaging Columbia, LLC · Columbia, MO
Active · expires Mar 3, 2028
CLIA Number26D2339593
Laboratory TypeDiagnostic Imaging
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorNicole L. Brooks
Laboratory Phone(314) 743-2000
Laboratory LocationProfessional Imaging Columbia, LLC1400 Forum Blvd, Suite 1E, Columbia, MO 65203
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 26D1084941

Professional Imaging · St. Louis, MO
Active · expires Jun 5, 2028
CLIA Number26D1084941
Laboratory TypeIndependent
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorAlexandrea A. Bleckler
Laboratory Phone(314) 743-2000
Laboratory LocationProfessional Imaging1050 Old Des Peres Road, Suite 30, St. Louis, MO 63131
CLIA data matches this NPI record on: 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 Professional Imaging Columbia, LLC's NPI number?

The NPI number for Professional Imaging Columbia, LLC is 1467322198. It was assigned to this organization in the NPPES registry on November 7, 2025.

Where is Professional Imaging Columbia, LLC located?

Professional Imaging Columbia, LLC is located at 1400 Forum Blvd Ste 1E, Columbia, MO 65203. The listed phone number is (999) 999-9999.

What is Professional Imaging Columbia, LLC's specialty?

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

Does Professional Imaging Columbia, 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.

When was this NPI record last updated?

The NPPES record for Professional Imaging Columbia, LLC was last updated on May 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.