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Organization

MARION DIAGNOSTIC CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAY CARTER (OFFICE ADMINISTRATOR)
(618) 993-1400
Entity
Organization

Contact information

Practice address
3003 CIVIC CIRCLE BLVD SUITE 200, MARION, IL 62959-5259
(618) 993-1400
(618) 993-1522
Mailing address
3003 CIVIC CIRCLE BLVD SUITE 200, MARION, IL 62959-5259
(618) 993-1400
(618) 993-1522

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
207RG0100X
Gastroenterology Physician
207RH0003X
Hematology & Oncology Physician
207V00000X
Obstetrics & Gynecology Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
208600000X
Surgery Physician
208800000X
Urology Physician
213E00000X
Podiatrist
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QR0200X
Radiology Clinic/Center
261QR1300X
Rural Health Clinic/Center
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
09/26/2006
Last updated
09/08/2022
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