Provider Demographics
NPI:1659325876
Name:PRECISION IMAGING, LLC
Entity Type:Organization
Organization Name:PRECISION IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NASEEM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-909-6535
Mailing Address - Street 1:1028 OLD DES PERES RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-1865
Mailing Address - Country:US
Mailing Address - Phone:314-909-6535
Mailing Address - Fax:314-909-6556
Practice Address - Street 1:1028 OLD DES PERES RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-1865
Practice Address - Country:US
Practice Address - Phone:314-909-6535
Practice Address - Fax:314-909-6556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MONA261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOAPPLYINGMedicare ID - Type Unspecified