Organization · Type 2 NPI
Missouri Breast Radiology Specialists, LLC
Diagnostic Radiology Physician · Ballwin, MO
NPI number
1689551400
Active
Practice location
884 Woods Mill Rd Ste 203
Ballwin, MO 63011-3657
Mailing address
15601 Dallas Pkwy Ste 300
Addison, TX 75001-6012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1689551400
Missouri Breast Radiology Specialists, LLC's National Provider Identifier is 1689551400, issued on Aug 21, 2025. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Ballwin, MO. The record was last updated on Sep 25, 2026.