IMAGING CENTER OF SALEM INC NPI 1235204322

NPI Information

NPI: 1235204322
Provider Name: IMAGING CENTER OF SALEM, INC
Classification: Internal Medicine - 207RM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
1325D W WHITTAKER ST
SALEM, IL
ZIP 62881
Phone: (618) 548-3796
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IMAGING CENTER OF SALEM, INC is a magnetic resonance imaging (mri) internal medicine in Salem, IL. The provider is definition to come. IMAGING CENTER OF SALEM, INC NPI is 1235204322. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1325D W WHITTAKER ST
SALEM, IL
ZIP 62881
Phone: (618) 548-3796
Fax: (618) 548-3050

The provider's authorized official is Lu Ann Bogolin .
The authorized official title is Billing Mngr and has the following contact phone number (314) 966-6070.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 1/26/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RM1200X	Internal Medicine	Magnetic Resonance Imaging (MRI)		ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	470001830	OTHER	ILLINOIS	RR MEDICARE
2	=========001	MEDICAID	ILLINOIS
3	06130188	OTHER	ILLINOIS	BCBS
4	=========	OTHER	ILLINOIS	TRICARE
5	647250	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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

NPI Synchronization or Removal

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