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

Active since June 03, 2006CLIA 26D2026880 · Waiver
12101 OLIVE BLVD, CREVE COEUR, MO 63141(314) 514-0167(314) 514-8773 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Greater Missouri Opensided Mri & Ct NPPES

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

GREATER MISSOURI OPENSIDED MRI & CT (NPI 1598703589) is a healthcare organization registered as a diagnostic radiology in Creve Coeur, Missouri and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Jennifer S Moon, Manager, as its authorized official.

NPPES Registry Identity

NPI1598703589
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameOPENSIDED MRI OF ST LOUIS, LLC
Location Address12101 OLIVE BLVDCreve Coeur, MO 63141-6628
Mailing Address12101 Olive BlvdCreve Coeur, MO 63141-6628 · (314) 514-0167 · Fax (314) 514-8773
Phone(314) 514-0167
Fax(314) 514-8773
Organization SubpartNo
Authorized OfficialJennifer S MoonManager · (314) 514-0167
Enumeration DateJune 3, 2006
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1598703589 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.
12101 OLIVE BLVD, Creve Coeur, MO 63141
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Other Names 2

Doing Business AsGreater Missouri Opensided Mri & Ct
Doing Business AsGreater Missouri Imaging

Other Identifiers 2

Other000000488078MO · Bcbs Pin
Medicaid503823304MO

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 UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 26D2026880

Greater Missouri Open Sided Mri & Ct · Creve Coeur, MO
Active · expires Jul 11, 2027
CLIA Number26D2026880
Laboratory TypeOutpatient Imaging Center
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorMatthew Ruyle
Laboratory Phone(314) 574-0167
Laboratory LocationGreater Missouri Open Sided Mri & Ct12101 Olive Blvd, Creve Coeur, MO 63141
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadobenate dimeglumine (multihance), per ml A9577
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.
180 services18 patients
Mri scan of leg joint without contrast 73721
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.
42 services42 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
30 services13 patients
3d radiographic procedure 76376
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.
26 services26 patients
Mri scan of leg without contrast 73718
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.
23 services23 patients
Mri scan of lower spinal canal without contrast 72148
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.
22 services22 patients

Other Providers at the Same Location NPPES 2

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

OPENSIDED MRI OF ST LOUIS II
Radiology (Diagnostic Radiology)
12101 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 514-0167
TRUE RADIOLOGY
Pain Medicine (Interventional Pain Medicine)
12101 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 514-0167

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 Opensided Mri Of St Louis, LLC's NPI number?

The NPI number for Opensided Mri Of St Louis, LLC is 1598703589. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Greater Missouri Opensided Mri & Ct and Greater Missouri Imaging.

Where is Opensided Mri Of St Louis, LLC located?

Opensided Mri Of St Louis, LLC is located at 12101 Olive Blvd, Creve Coeur, MO 63141. The listed phone number is (314) 514-0167.

What is Opensided Mri Of St Louis, LLC's specialty?

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

Does Opensided Mri Of St Louis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2026880) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Opensided Mri Of St Louis, LLC accept?

Health plans from UnitedHealthcare list Opensided Mri Of St Louis, 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 Opensided Mri Of St Louis, LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.