Organization
MARION DIAGNOSTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI D. GAMBLE BSN, RN (NURAE ADMINISTRATOR)
(618) 993-1400
Entity
Organization
Contact information
Practice address
3003 CIVIC CIRCLE BLVD STE 200, MARION, IL 62959-5259
(618) 993-1400
(618) 993-1522
Mailing address
3003 CIVIC CIRCLE BLVD STE 200, MARION, IL 62959-5259
(618) 993-1400
(618) 993-1522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/08/2019
Last updated
09/08/2022
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