Ft. Jesse Imaging Center LLC
NPI #1245287143 in Normal, Illinois
Provider Information
- NPI Number
- 1245287143
- Entity Type
- Organization
- Organization Name
- Ft. Jesse Imaging Center LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- May 27, 2006
- Last Updated
- Dec 16, 2025
Practice Location
Authorized Official
- Name
- AMY STOUT
- Title
- PRESIDENT/CEO
- Phone
- (615) 261-2306
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mammography — Radiology, Mammography |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Clinic/Center - Radiology — Radiology |
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