Organization · Type 2 NPI
Prairie Diagnostic Center, LLC
Radiology Clinic/Center · Springfield, IL
NPI number
1932154440
Active
Practice location
401 E. Carpenter St.
Springfield, IL 62702
Fax (217) 788-0848
Mailing address
619 E Mason St
Springfield, IL 62701-1034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
About NPI 1932154440
Prairie Diagnostic Center, LLC's National Provider Identifier is 1932154440, issued on May 23, 2006. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Springfield, IL. The record was last updated on Aug 22, 2020.