The Carbondale Clinic Radiology in Carbondale - Diagnostic Radiology

The Carbondale Clinic Radiology - NPI 1285790519

The Carbondale Clinic Radiology is a Diagnostic Radiology in Carbondale, Illinois. The Carbondale Clinic Radiology practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for The Carbondale Clinic Radiology is 1285790519. The last update date is 2008-05-08.

The Carbondale Clinic Radiology's current location address is 2601 W Main St, Carbondale, Illinois. You can contact this provider via phone number 6184575200 and fax number 6185495128. The mailing address for The Carbondale Clinic Radiology is 2601 W Main St, Carbondale, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Carbondale Clinic Radiology
Address 2601 W Main St, Carbondale, Illinois
Phone Number 6184575200
Fax Number 6185495128
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIEF EXEC
Authorized Official Name Norman N Allan
Telephone Number 6184575200

NPI Number Detail

NPI Number 1285790519
Provider Enumeration Date 2006-12-29
Last Updated Date 2008-05-08

Provider Mailing Address Detail

Address 2601 W Main St
City Carbondale
State Illinois (IL)
Post Code 629011031
Phone Number 6184575200
Fax Number 6185495128

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
614350 IL LEGACY
44651 IL HAMP
464790 IL HEALTHLINK
690006448 IL RR MEDICARE
196090 IL GHP

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FAQs about The Carbondale Clinic Radiology

What is the unique 10-digit identifier code assigned to The Carbondale Clinic Radiology by the Centers for Medicare & Medicaid Services?

The The Carbondale Clinic Radiology has been issued the NPI (National Provider Identifier) 1285790519 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the The Carbondale Clinic Radiology located?

The The Carbondale Clinic Radiology is located at 2601 W Main St, Carbondale, IL 629011031.

What is The Carbondale Clinic Radiology's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for The Carbondale Clinic Radiology is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

On what date was the 1285790519 assigned to The Carbondale Clinic Radiology?

The The Carbondale Clinic Radiology was issued its 1285790519 on 2006-12-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to The Carbondale Clinic Radiology most recently updated or revised?

The information pertaining to The Carbondale Clinic Radiology, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-08.

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