MARION DIAGNOSTIC CENTER LLC NPI 1275006744

NPI Information

  • NPI: 1275006744
  • Provider Name: MARION DIAGNOSTIC CENTER LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 3003 CIVIC CIRCLE BLVD STE 200
    MARION, IL
    ZIP 62959
  • Phone: (618) 993-1400

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NPI Details

MARION DIAGNOSTIC CENTER LLC is a diagnostic radiology radiology in Marion, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MARION DIAGNOSTIC CENTER LLC NPI is 1275006744. The provider is registered as an organization entity type.

The provider's business location address is:

3003 CIVIC CIRCLE BLVD STE 200
MARION, IL
ZIP 62959-259
Phone: (618) 993-1400
Fax: (618) 993-1522

The provider's authorized official is Shari D. Gamble .
The authorized official title is Nurae Administrator and has the following contact phone number (618) 993-1400.

The enumeration date for this NPI number is 1/8/2019 and was last updated on 9/8/2022.

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
1261QM1300XClinic/CenterMulti-SpecialtyNo
22085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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