Maryville Imaging, LLC
NPI #1831840180 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1831840180
- Entity Type
- Organization
- Organization Name
- Maryville Imaging, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MARYVILLE IMAGING, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jan 18, 2022
- Last Updated
- Aug 4, 2022
Practice Location
- Address
- 3417 ANDERSON HEALTHCARE DR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-7784
- Phone
- (618) 288-4929
Authorized Official
- Name
- BRIAN DALE ENGELKE
- Title
- CFO
- Phone
- (618) 635-4242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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