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1932154440
PRAIRIE DIAGNOSTIC CENTER, LLC
SPRINGFIELD, IL
NPI
1932154440
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Entity Type
Organization
Authorized Contact
FRANK L. MIKELL
President
217-788-0706
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
Enumeration Date
2006-05-23
Last Update Date
2020-08-22
Business Address
PRAIRIE DIAGNOSTIC CENTER, LLC
401 E. CARPENTER ST.
SPRINGFIELD, IL 62702
Phone number: 217-788-0706
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Mailing Address
PRAIRIE DIAGNOSTIC CENTER, LLC
619 E MASON ST
SPRINGFIELD, IL 62701-1034
Phone number: 217-788-0706
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