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Contact Information

MARION DIAGNOSTIC CENTER, LLC
3003 CIVIC CIRCLE BLVD SUITE 200
MARION, IL62959-5259
 Phone: 618-993-1400
 Fax: 618-993-1522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Podiatrist

213E00000X 48 Podiatry
 

Radiology

261QR0200X 74 Radiation Therapy Center
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Surgery

208600000X 02 Physician/General Surgery
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MARION DIAGNOSTIC CENTER, LLC

NPI Number 1366543084
LBN Legal business name MARION DIAGNOSTIC CENTER, LLC
Authorized official JAY CARTER - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2006
Last updated 09/08/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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