Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Capital Region Medical Center

Organization Body Imaging Physician · NPI 1679825244

Capital Region Medical Center is a Body Imaging Physician in Jefferson City, Missouri. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1432 SW Blvd
Jefferson City, MO 65109-2444
Phone: (573) 632-5580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X

Record details

NPI number1679825244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Luebbering — Vice President Of Finance · (573) 632-5102
Other names Radiance Medical Spa And Vein Care
NPI enumeratedOctober 8, 2012
Last updated in NPPESDecember 19, 2013
Mailing address1432 Southwest Blvd, Jefferson City, MO 65109-2444