NPI | 1548986839 |
---|---|
Doing Business As | SOUTHERN ILLINOIS IMAGING |
Entity Type | Organization |
Authorized Contact | JARED STIMPSON Treasurer 812-450-8287 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
Enumeration Date | 2022-10-18 |
Last Update Date | 2023-01-11 |