Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Missouri Medical Imaging, Inc

Organization Diagnostic Radiology Physician · NPI 1235238056

Missouri Medical Imaging, Inc provides Diagnostic Radiology Physician services in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1125 Madison St
Jefferson City, MO 65101-5227
Phone: (573) 635-7141
Fax: (573) 634-3146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 108356 (MO)

Record details

NPI number1235238056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Luetkemeyer — President · (573) 635-7141
Other names Capital Region Medical Imaging
NPI enumeratedSeptember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1125 Madison St, Jefferson City, MO 65101-5227

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