XRT III INC NPI 1861587586

NPI Information

  • NPI: 1861587586
  • Provider Name: XRT III, INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: ILLINOIS METRO RADIATION THERAPY
  • CLIA Number: 14D2237086
  • Address: 326 FOUNTAINS PKWY
    FAIRVIEW HEIGHTS, IL
    ZIP 62208
  • Phone: (618) 632-5501

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NPI Details

XRT III, INC is a specialist in Fairview Heights, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. XRT III, INC NPI is 1861587586. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Illinois Metro Radiation Therapy.

The provider's business location address is:

326 FOUNTAINS PKWY
FAIRVIEW HEIGHTS, IL
ZIP 62208-041
Phone: (618) 632-5501
Fax: (618) 632-5521

The provider's authorized official is Mary W Conti .
The authorized official title is Co-owner and has the following contact phone number (618) 632-5501.

The CLIA number assigned to this NPI record is 14D2237086 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 2/26/2008.

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
1174400000XSpecialistILLINOISNo
2174400000XSpecialistILLINOISYes

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
1209418MEDICARE PINILLINOIS
2DB7970OTHERILLINOISRAILROAD MEDICARE

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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