OPEN MRI OF SOUTHERN ILLINOIS LLC is a radiology clinic center in Maryville, IL. OPEN MRI OF SOUTHERN ILLINOIS LLC NPI is 1194710905. The provider is registered as an organization entity type. The provider Is Doing Business As Imaging Center Of Southern Illinois.
The provider's business location address is:
2016 VADALABENE DR MARYVILLE, IL ZIP 62062-901 Phone: (618) 288-4929 Fax: (618) 288-4531
The provider's authorized official is Steven Michael Mcrae . The authorized official title is Managing Member and has the following contact phone number (618) 659-1167.
The enumeration date for this NPI number is 9/19/2005 and was last updated on 8/22/2020.
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:
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: 3/30/2025
NPI Synchronization or Removal
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