SPECIALT MRI, LLC
NPI 1811740301
Clinic/Center - Magnetic Resonance Imaging (MRI) in Fenton, MO
NPI Status: Active since April 08, 2024
Contact Information
1823 SMIZER STATION RD
FENTON, MO
ZIP 63026
Phone: (636) 333-1391
Fax: (636) 333-1343
- Organization
- Clinic/Center
- Magnetic Resonance Imaging (MRI)
- Accepts Insurance
- CLIA Number: 26D2310282
- CLIA Cert. Type: Other - MRI IMAGING CENTER
- CLIA Exp. Date: 08-28-2026
About SPECIALT MRI, LLC
This page provides the complete NPI Profile along with additional information for Specialt Mri, Llc, a provider established in Fenton, Missouri operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1811740301 assigned on April 2024. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated one year ago. Specialt Mri, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Jerry Ge R.t.(r)(mr)(arrt) (Managing Member)
- NPI
- 1811740301
- Provider Name
- SPECIALT MRI, LLC
- Entity Type
- Organization
- Location Address
- 1823 SMIZER STATION RD FENTON, MO 63026
- Location Phone
- (636) 333-1391
- Location Fax
- (636) 333-1343
- Mailing Address
- 2444 FLOWERDALE CT EUREKA, MO 63025
- Mailing Phone
- (314) 783-7054
- Mailing Fax
- (636) 333-1343
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-08-2024
- Last Update Date
- 04-11-2025
- Code Navigator
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
Clinic/Center Magnetic Resonance Imaging (MRI)
- Taxonomy Code
- 261QM1200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | |
| 2 | 335V00000X | Suppliers | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 26D2310282
- Facility Type
- Other - MRI IMAGING CENTER
- Certificate Effective Date
- August 29, 2024
- Certificate Expiration Date
- August 28, 2026
- Laboratory Director
- JERRY C. GE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Specialt Mri, Llc 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 1811740301, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811740301, enumerated as an "organization" on April 08, 2024.
The provider is located at 1823 SMIZER STATION RD FENTON, MO 63026 and the phone number is (636) 333-1391.
Clinic/Center with taxonomy code 261QM1200X and a focus in Magnetic Resonance Imaging (MRI).
The provider might be accepting Accepts: Medica and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.
