IMAGING CENTER OF SALEM, INC – NPI #1235204322
Internal Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

IMAGING CENTER OF SALEM, INC is a provider located in SALEM, IL. NPPES has assigned the NPI number 1235204322 to IMAGING CENTER OF SALEM, INC on November 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RM1200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Magnetic Resonance Imaging (MRI)

The NPI profile was previously updated about 17 years ago on Jan 26, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMAGING CENTER OF SALEM, INC below.

NPI Profile for
IMAGING CENTER OF SALEM, INC

NPI Number
1235204322
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IMAGING CENTER OF SALEM, INC
Primary location
1325D W WHITTAKER ST
SALEM, IL 62881
Phone: (618) 548-3796 Fax: (618) 548-3050
Mailing address
PO BOX 31249
SAINT LOUIS, MO 63131-0249
Phone: (314) 966-6070 Fax: (314) 966-3440
Organization Subpart
No
Authorized Official
LU BOGOLIN
BILLING MNGR
Phone: (314) 966-6070
Updated
Identifiers

Identifiers for IMAGING CENTER OF SALEM, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSIL06130188
OTHERRR MEDICAREIL470001830
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RM1200X
- Internal Medicine / Magnetic Resonance Imaging (MRI) (Primary)
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.