MARYVILLE IMAGING, LLC; NPI #1831840180

Contact Information

MARYVILLE IMAGING, LLC

3417 ANDERSON HEALTHCARE DR
EDWARDSVILLE, IL 62025-7784

Phone: 618-288-4929
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for MARYVILLE IMAGING, LLC

NPI Number	`1831840180`
LBN Legal business name	MARYVILLE IMAGING, LLC
Authorized official	BRIAN ENGELKE - (CFO)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	01/18/2022
Last updated	08/04/2022 - 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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MARYVILLE IMAGING, LLC

Contact Information

Specialty

Radiology

NPI Profile & details for MARYVILLE IMAGING, LLC

Reviews for MARYVILLE IMAGING, LLC