Cedar Court Imaging Ltd

LBN: Cedar Court Imaging Ltd
Cedar Court Imaging Ltd is an health care organization with primary practice located at 1200 Cedar Ct , Carbondale IL 62901-5334. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Cedar Court Imaging Ltd can be contacted via phone (618) 529-8500, or through Fulk, Douglas L. via phone (618) 529-8500.

Contact Information

Primary practice address
1200 Cedar Ct Carbondale IL 62901-5334
Phone: (618) 529-8500
Fax: (618) 549-1000
Website:
Map and Directions
Authorized official contact:
Name: Fulk, Douglas L. Doctor of Medicine (MD)
Phone: (618) 529-8500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036091745 Illinois

Profile Details

NPI number 1801873666
LBN Legal business name Cedar Court Imaging Ltd
DBA Doing business as
Authorized official Fulk, Douglas L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2005
Last updated Oct 21st, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801873666 NPPES
Illinois MEDICAID 036091745

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