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CAPE RADIOLOGY GROUP I LLC NPI 1598708331


NPI Information

NPI: 1598708331
Provider Name: CAPE RADIOLOGY GROUP I LLC

Doing Business As: CRG LLC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 26D1100532

Address:
70 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 334-6071
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CAPE RADIOLOGY GROUP I LLC is a diagnostic radiology radiology in Cape Girardeau, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CAPE RADIOLOGY GROUP I LLC NPI is 1598708331. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Crg Llc.

The provider's business location address is:

70 DOCTORS PARK
CAPE GIRARDEAU, MO
ZIP 63703-928
Phone: (573) 334-6071
Fax: (573) 334-4739

The provider's authorized official is Mark L Gates .
The authorized official title is President and has the following contact phone number (573) 334-6071.

The CLIA number assigned to this NPI record is 26D1100532 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 6/26/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000047065MEDICARE PINMISSOURI

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.