Logan Park Imaging Llc in Herrin - Diagnostic Radiology
Logan Park Imaging Llc - NPI 1205831971
Logan Park Imaging Llc is a Diagnostic Radiology in Herrin, Illinois. Logan Park Imaging Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Logan Park Imaging Llc is 1205831971. The last update date is 2022-07-21.
Logan Park Imaging Llc's current location address is 500 Lincoln Dr, Herrin, Illinois. You can contact this provider via phone number 6189989633 and fax number 6189989623. The mailing address for Logan Park Imaging Llc is 500 Lincoln Dr, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Logan Park Imaging Llc |
|---|---|
| Address | 500 Lincoln Dr, Herrin, Illinois |
| Phone Number | 6189989633 |
| Fax Number | 6189989623 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Meeks Wrophas |
| Credentials | MD |
| Telephone Number | 6189989633 |
NPI Number Detail
| NPI Number | 1205831971 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 500 Lincoln Dr |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 6294863340 |
| Phone Number | 6189989633 |
| Fax Number | 6189989623 |
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. |
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Post Comment/ Review Below
What is the Logan Park Imaging Llc's 1205831971?
The Logan Park Imaging Llc's NPI (National Provider Identifier) Number is 1205831971. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Logan Park Imaging Llc?
The Logan Park Imaging Llc is physically situated at 500 Lincoln Dr, in the city of Herrin, state of IL, with the postal code 6294863340.
What is the area of specialization for Logan Park Imaging Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Logan Park Imaging Llc is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
On what date did the Logan Park Imaging Llc receive its 1205831971 assignment from the Centers for Medicare & Medicaid Services?
The Logan Park Imaging Llc was assigned its 1205831971 by the Centers for Medicare & Medicaid Services on 2005-06-17.
As of what date were the details related to Logan Park Imaging Llc most recently updated or revised?
The information pertaining to Logan Park Imaging Llc, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.