# MID-AMERICA IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730147737
- **Authorized official:** PAUL M SCHROEDER MD (TREASURER)
- **Authorized official phone:** (618) 624-0100

## Contact information

- **Practice address:** 1512 N GREEN MOUNT RD, O FALLON, IL 62269
- **Practice address phone:** (618) 624-0100
- **Practice address fax:** (618) 624-0102
- **Mailing address:** 1512 N GREEN MOUNT RD, O FALLON, IL 62269
- **Mailing address phone:** (618) 624-0100
- **Mailing address fax:** (618) 624-0102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 05/08/2017