MARYVILLE IMAGING LLC NPI 1912293002

NPI Details

MARYVILLE IMAGING, LLC is a radiology clinic center in Maryville, IL. MARYVILLE IMAGING, LLC NPI is 1912293002. The provider is registered as an organization entity type.

The provider's business location address is:

2023 VADALABENE DR
SUITE 100
MARYVILLE, IL
ZIP 62062-630
Phone: (618) 288-4929
Fax: (618) 288-4531

The provider's authorized official is Keith A. Page .
The authorized official title is President and has the following contact phone number (618) 391-6406.

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, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• 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)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Mri scan of leg joint without contrast (HCPCS:73721)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• Ct scan of chest without contrast (HCPCS:71250)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Mri scan of arm joint without contrast (HCPCS:73221)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Diagnostic mammography of both breasts (HCPCS:77066)
• X-ray of knee, 3 views (HCPCS:73562)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
• X-ray of knee, 1-2 views (HCPCS:73560)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Ct scan of chest with contrast (HCPCS:71260)
• Mri scan of brain without contrast (HCPCS:70551)
• Complete ultrasound scan of 1 breast (HCPCS:76641)
• Ct scan of lower spine without contrast (HCPCS:72131)
• X-ray of both hips, 2 views (HCPCS:73521)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Mri scan of middle spinal canal without contrast (HCPCS:72146)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• X-ray of hand, 2 views (HCPCS:73120)
• X-ray of middle spine, 3 views (HCPCS:72072)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of ankle, 2 views (HCPCS:73600)
• X-ray of knee, 4 or more views (HCPCS:73564)
• X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
• Ct scan of face without contrast (HCPCS:70486)
• Mri scan of brain before and after contrast (HCPCS:70553)
• X-ray of upper spine, 4-5 views (HCPCS:72050)
• X-ray of finger, minimum of 2 views (HCPCS:73140)
• Mri scan of lower spinal canal before and after contrast (HCPCS:72158)

The enumeration date for this NPI number is 6/27/2011 and was last updated on 6/8/2022.

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: