Prairie Diagnostic Center, LLC
NPI #1932154440 in Springfield, Illinois
Provider Information
- NPI Number
- 1932154440
- Entity Type
- Organization
- Organization Name
- Prairie Diagnostic Center, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- May 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 401 E. CARPENTER ST.
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702
- Phone
- (217) 788-0706
Authorized Official
- Name
- DR. FRANK L. MIKELL, M.D.
- Title
- PRESIDENT
- Phone
- (217) 788-0706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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