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

Dr. Amanda Elizabeth Lackey, MD

Individual provider Diagnostic Radiology Physician · NPI 1194041855

Dr. Amanda Elizabeth Lackey, MD is a Diagnostic Radiology in Saint Louis, Missouri. Graduated from Northeastern Ohio University College of Medicine in 2010, 16 years ago. Practices with Specialists in Medical Imaging, SC, a 221-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
16
Trained at
Northeastern Ohio University College of Medicine
Licensed in
MO
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

510 S Kingshighway Blvd Dept Radiology
Saint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Show map & directions

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

Additional practice locations (1)

  • 1102 W 32nd St, Joplin, MO 64804-3503 — (417) 347-6611

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2016018709 (MO)

Record details

NPI number1194041855
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2010
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Specialists In Medical Imaging, Sc — 221 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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