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Organization
SUMMIT RADIOLOGY, LLC
Active
Organization
SUMMIT RADIOLOGY, LLC
Active
Parent organization
SUMMIT RADIOLOGY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT RADIOLOGY, LLC
Authorized official
MARTIN A. URBAN MD (PRESIDENT)
(815) 654-2486
Entity
Organization
Contact information
Practice address
3849 N. PERRYVILLE ROAD, ROCKFORD, IL 61114
(815) 654-2486
(815) 654-2680
Mailing address
3849 N. PERRYVILLE ROAD, ROCKFORD, IL 61114
(815) 654-2486
(815) 654-2680
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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