Goshen Imaging

LBN: Maryville Imaging, Llc
Goshen Imaging is an health care organization with primary practice located at 3417 Anderson Healthcare Dr , Edwardsville IL 62025-7784. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Maryville Imaging, Llc can be contacted via phone (618) 288-4929, or through Engelke, Brian Dale via phone (618) 635-4242.

Contact Information

Primary practice address
3417 Anderson Healthcare Dr Edwardsville IL 62025-7784
Phone: (618) 288-4929
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Engelke, Brian Dale
Phone: (618) 635-4242

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1831840180
LBN Legal business name Maryville Imaging, Llc
DBA Doing business as Goshen Imaging
Authorized official Engelke, Brian Dale
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 18th, 2022
Last updated Aug 4th, 2022 - about 2 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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