Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Des Peres Square Imaging Center LLC

Magnetic Resonance Imaging (MRI) Clinic/Center in Saint Louis, MO · enumerated 2005 · authorized official Larry Polley, Executive Director.

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

National Provider Identifier

1134120454

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Registry record

Entity type Organization (Type 2)

Legal business name Des Peres Square Imaging Center LLC

Parent organization Orthopedic Associates LLC

Practice address 1050 Old Des Peres Rd, Suite 75, Saint Louis, MO, 63131

Phone (314) 569-2412

Fax (314) 569-1655

Enumeration date Aug 9, 2005

Last updated in NPPES Mar 9, 2011

Taxonomy & classification

261QM1200X Magnetic Resonance Imaging (MRI) Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Larry Polley

Title Executive Director

Phone (314) 569-0612

Other identifiers

Identifier	Type	State	Issuer
168483	Other	MO	ANTHEM
470001747	Other	MO	MEDICARE RAILROAD PIN
2612904	Other	MO	AETNA
1601575	Other	MO	UNITED HEALTHCARE
473861	Other	MO	HEALTHLINK

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 a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Des Peres Square Imaging Center LLC?

Des Peres Square Imaging Center LLC is registered in NPPES as a Magnetic Resonance Imaging (MRI) Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-09.