Organization · Type 2 NPI

417 Sports Advanced Imaging LLC

Diagnostic Radiology Physician · Springfield, MO

NPI number 1225906597 Active

Practice location

3328 S National Ave
Springfield, MO 65807-7305

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5 other providers at this address

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About NPI 1225906597

417 Sports Advanced Imaging LLC's National Provider Identifier is 1225906597, issued on Oct 28, 2025. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Springfield, MO. The record was last updated on Oct 28, 2025.