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Southtowne Imaging Center LLC

Radiology Clinic/Center in Potosi, MO · enumerated 2006 · authorized official Henry Boots, Owner/Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104991918

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Registry record

Entity type Organization (Type 2)
Legal business name Southtowne Imaging Center LLC
Practice address 20 Southtowne Dr, Potosi, MO, 63664
Phone (573) 436-6736
Fax (573) 436-7321
Enumeration date Nov 21, 2006
Last updated in NPPES Feb 17, 2015

Taxonomy & classification

261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Henry Boots
Title Owner/Manager
Phone (573) 315-9109

Other identifiers

Identifier Type State Issuer
269801 Other MO GHP NUMBER
710002502 Medicaid MO -
P00277531 Other MO RAILROAD MEDICARE NUMBER
59787 Other MO HEALTHCARE USA NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Southtowne Imaging Center LLC?
The NPI for Southtowne Imaging Center LLC is 1104991918, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southtowne Imaging Center LLC?
NPPES lists Henry Boots (Owner/Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-17.