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MARION MEDICAL XRAY NPI 1760550222


NPI Information

NPI: 1760550222
Provider Name: MARION MEDICAL XRAY

Other Name: MARION MEDICAL XRAY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1008 W CHERRY ST
MARION, IL
ZIP 62959
Phone: (618) 997-6909
Get Directions

MARION MEDICAL XRAY 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 MEDICAL XRAY NPI is 1760550222. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Marion Medical Xray.

The provider's business location address is:

1008 W CHERRY ST
MARION, IL
ZIP 62959-998
Phone: (618) 997-6909
Fax: (618) 997-7759

The provider's authorized official is Judy Kay Brandon .
The authorized official title is Office Manager and has the following contact phone number (618) 997-6909.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 12/19/2007.


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
12085R0202XRadiologyDiagnostic RadiologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12800075OTHERILLINOISBLUE CROSS BLUE SHIELD
2271836OTHERHEALTHLINK
3693272OTHERILLINOISMEDICARE GROUP PROVIDER #
4693271MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE
5863211OTHERILLINOISDEPT OF LABOR
60360443201MEDICAIDILLINOIS
71052274OTHERILLINOISUMWA
8164921OTHERINDIANAFDA
9C44814MEDICARE UPIN

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
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