Imaging Center Of Southern Illinois

LBN: Open Mri Of Southern Illinois Llc
Imaging Center Of Southern Illinois is an health care organization with primary practice located at 2016 Vadalabene Dr , Maryville IL 62062-6901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Open Mri Of Southern Illinois Llc can be contacted via phone (618) 288-4929, or through Mcrae, Steven Michael via phone (618) 659-1167.

Contact Information

Primary practice address
2016 Vadalabene Dr Maryville IL 62062-6901
Fax: (618) 288-4531
Website:
Authorized official contact:
Name: Mcrae, Steven Michael

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1194710905
LBN Legal business name Open Mri Of Southern Illinois Llc
DBA Doing business as Imaging Center Of Southern Illinois
Authorized official Mcrae, Steven Michael
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2005
Last updated Aug 22nd, 2020 - about 4 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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