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SIMPLY THE BREAST LLC NPI 1750554960


NPI Information

NPI: 1750554960
Provider Name: SIMPLY THE BREAST, LLC

Doing Business As: ADVANCEDTECH BREAST IMAGING SPECIALISTS, LLC

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
500 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
Phone: (217) 342-6266
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SIMPLY THE BREAST, LLC is a radiology and mammography clinic center in Effingham, IL. SIMPLY THE BREAST, LLC NPI is 1750554960. The provider is registered as an organization entity type.
The provider Is Doing Business As Advancedtech Breast Imaging Specialists, Llc.

The provider's business location address is:

500 N MAPLE ST
EFFINGHAM, IL
ZIP 62401-005
Phone: (217) 342-6266
Fax: (217) 342-6269

The provider's authorized official is David R Horace .
The authorized official title is President and has the following contact phone number (618) 973-8740.

The enumeration date for this NPI number is 4/9/2008 and was last updated on 3/15/2012.


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
1261QR0206XClinic/CenterRadiology, MammographyYes

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

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