Organization · Type 2 NPI

Roadside Medical, LLC

Clinic/Center · East St. Louis, IL

NPI number 1457665382 Active

Practice location

699 State Route 203, Suite 1
East St. Louis, IL 62201-1608

Fax (888) 860-8609

Mailing address

8466 Lockwood Ridge Rd, #248
Sarasota, FL 34243-2951

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1457665382

Roadside Medical, LLC's National Provider Identifier is 1457665382, issued on Aug 3, 2010. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in East St. Louis, IL. The record was last updated on Aug 3, 2010.