CEDAR COURT IMAGING LTD NPI 1801873666

NPI Information

  • NPI: 1801873666
  • Provider Name: CEDAR COURT IMAGING LTD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 14D0912873
  • Address: 1200 CEDAR CT
    CARBONDALE, IL
    ZIP 62901
  • Phone: (618) 529-8500

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NPI Details

CEDAR COURT IMAGING LTD is a diagnostic radiology radiology in Carbondale, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CEDAR COURT IMAGING LTD NPI is 1801873666. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1200 CEDAR CT
CARBONDALE, IL
ZIP 62901-334
Phone: (618) 529-8500
Fax: (618) 549-1000

The provider's authorized official is Douglas L. Fulk .
The authorized official title is President and has the following contact phone number (618) 529-8500.

The CLIA number assigned to this NPI record is 14D0912873 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml (HCPCS:A9579)
  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • X-ray of hand, 2 views (HCPCS:73120)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)

The enumeration date for this NPI number is 12/22/2005 and was last updated on 10/21/2011.

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
12085R0202XRadiologyDiagnostic Radiology036091745ILLINOISYes

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
1036091745MEDICAIDILLINOIS

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: 11/21/2025

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