MARION DIAGNOSTIC CENTER LLC NPI 1275006744

NPI Information

NPI: 1275006744
Provider Name: MARION DIAGNOSTIC CENTER LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 14D1053355

Address:
3003 CIVIC CIRCLE BLVD STE 200
MARION, IL
ZIP 62959
Phone: (618) 993-1400
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MARION DIAGNOSTIC CENTER LLC is a diagnostic radiology radiology in Marion, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MARION DIAGNOSTIC CENTER LLC NPI is 1275006744. The provider is registered as an organization entity type.

The provider's business location address is:

3003 CIVIC CIRCLE BLVD STE 200
MARION, IL
ZIP 62959-259
Phone: (618) 993-1400
Fax: (618) 993-1522

The provider's authorized official is Shari D. Gamble .
The authorized official title is Nurae Administrator and has the following contact phone number (618) 993-1400.

The CLIA number assigned to this NPI record is 14D1053355 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/8/2019 and was last updated on 9/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			No
2	2085R0202X	Radiology	Diagnostic Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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