MARION DIAGNOSTIC CENTER LLC NPI 1366543084

NPI Information

NPI: 1366543084
Provider Name: MARION DIAGNOSTIC CENTER, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3003 CIVIC CIRCLE BLVD SUITE 200
MARION, IL
ZIP 62959
Phone: (618) 993-1400
Get Directions

MARION DIAGNOSTIC CENTER, LLC is a multi-specialty clinic center in Marion, IL. MARION DIAGNOSTIC CENTER, LLC NPI is 1366543084. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

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

The provider's authorized official is Jay Carter .
The authorized official title is Office Administrator and has the following contact phone number (618) 993-1400.

The enumeration date for this NPI number is 9/26/2006 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	Primary
1	213E00000X	Podiatrist		No
2	207P00000X	Emergency Medicine		No
3	207Q00000X	Family Medicine		No
4	207RG0100X	Internal Medicine	Gastroenterology	No
5	207RH0003X	Internal Medicine	Hematology & Oncology	No
6	207V00000X	Obstetrics & Gynecology		No
7	207Y00000X	Otolaryngology		No
8	208000000X	Pediatrics		No
9	208600000X	Surgery		No
10	208800000X	Urology		No
11	261QR0200X	Clinic/Center	Radiology	No
12	261QR1300X	Clinic/Center	Rural Health	No
13	363A00000X	Physician Assistant		No
14	363L00000X	Nurse Practitioner		No
15	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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: 5/5/2024

NPI Synchronization or Removal

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.

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