GREATER MISSOURI OPENSIDED MRI & CT
NPI 1598703589
Radiology - Diagnostic Radiology in Creve Coeur, MO

NPI Status: Active since June 03, 2006

Contact Information

12101 OLIVE BLVD
CREVE COEUR, MO
ZIP 63141
Phone: (314) 514-0167
Fax: (314) 514-8773

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • CLIA Number: 26D2026880
  • CLIA Cert. Type: Other - OUTPATIENT IMAGING CENTER
  • CLIA Exp. Date: 07-11-2027

About GREATER MISSOURI OPENSIDED MRI & CT

This page provides the complete NPI Profile along with additional information for Greater Missouri Opensided Mri & Ct, a provider established in Creve Coeur, Missouri operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1598703589 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Greater Missouri Opensided Mri & Ct. The authorized official of this NPI record is Jennifer S Moon (Manager)

NPI
1598703589
Provider Legal Name
OPENSIDED MRI OF ST LOUIS, LLC
Other Organization Name
GREATER MISSOURI OPENSIDED MRI & CT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12101 OLIVE BLVD CREVE COEUR, MO 63141
Location Phone
(314) 514-0167
Location Fax
(314) 514-8773
Mailing Address
12101 OLIVE BLVD CREVE COEUR, MO 63141
Mailing Phone
(314) 514-0167
Mailing Fax
(314) 514-8773
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2006
Last Update Date
01-14-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER S MOON

Authorized Official Title
MANAGER
Authorized Official Phone
(314) 514-0167

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000488078OTHER (01)MOBCBS PIN
503823304MEDICAID (05)MO 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

3d radiographic procedure

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

This service was performed 16 times for 16 patients

Fluoroscopic guidance for needle placement

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

This service was performed 13 times for 12 patients

Injection, gadobenate dimeglumine (multihance), per ml

Gadobenate Dimeglumine (MultiHance) is a contrast agent used in MRI scans. Injected into your body, it helps to enhance the quality of the images captured during the scan. It aids in highlighting differences between normal and abnormal tissues, making diagnosis easier and more accurate.

This service was performed 180 times for 18 patients

Mri scan of brain before and after contrast

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

This service was performed 12 times for 12 patients

Mri scan of leg joint without contrast

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

This service was performed 19 times for 19 patients

Mri scan of leg without contrast

An MRI scan of the leg without contrast is a non-invasive imaging procedure. It uses a magnetic field and radio waves to create detailed images of the structures in your leg, such as bones, muscles, and blood vessels. No contrast dye is used.

This service was performed 16 times for 16 patients

Mri scan of lower spinal canal without contrast

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

This service was performed 21 times for 21 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2026880
Facility Type
Other - OUTPATIENT IMAGING CENTER
Certificate Effective Date
July 12, 2025
Certificate Expiration Date
July 11, 2027
Laboratory Director
MATTHEW RUYLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Greater Missouri Opensided Mri & Ct to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1598703589, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 8 + 8 + 1 + 4 + 0 + 6 + 5 + 1 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1598703589.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
12101 OLIVE BLVD
CREVE COEUR, MO 63141
Pain Medicine (Interventional Pain Medicine)
12101 OLIVE BLVD
CREVE COEUR, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598703589, enumerated as an "organization" on June 03, 2006.

The provider is located at 12101 OLIVE BLVD CREVE COEUR, MO 63141 and the phone number is (314) 514-0167.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: UnitedHealthcare, Blue Cross Blue Shield, Medicare. Please consult your insurance carrier or call the provider to verify.