MARYVILLE IMAGING, LLC is a radiology clinic center in Edwardsville, IL. MARYVILLE IMAGING, LLC NPI is 1831840180. The provider is registered as an organization entity type.
The provider Is Doing Business As Goshen Imaging.
The provider's business location address is:
3417 ANDERSON HEALTHCARE DR
EDWARDSVILLE, IL
ZIP 62025-784
Phone: (618) 288-4929
The provider's authorized official is Brian Dale Engelke .
The authorized official title is Cfo and has the following contact phone number (618) 635-4242.
The CLIA number assigned to this NPI record is 14D1004088 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/18/2022 and was last updated on 8/4/2022.