National Imaging of Carterville LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

NATIONAL IMAGING OF CARTERVILLE LLC

Doing business as

DIAGNOSTIC IMAGING CENTER OF CARTERVILLE

Practice address

10419 Fleming Rd
Carterville, IL 62918-3391

Phone

(618) 985-8007

Fax

(618) 985-8031

NPI assigned

Dec 2, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Swaw

Title

Director

Phone

(615) 778-8076

Specialties & licenses 1

Addresses

Other names 1

• DIAGNOSTIC IMAGING CENTER OF CARTERVILLE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1134594146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10419 FLEMING RD",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629183391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10419 FLEMING RD",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629183391",
            "telephone_number": "618-985-8007",
            "fax_number": "618-985-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL IMAGING OF CARTERVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "SWAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-778-8076"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAGNOSTIC IMAGING CENTER OF CARTERVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Moore
• Billynn J Moriarity
• Jill Elizabeth Morthland, MSW
• Linda Muckey
• Mary C Murray, LCP
• Shantell Neal
• Matin Nekzad, MD
• Angie Nessa
• Debra Newbolds
• Rebecca Newburn

• Radiology Clinic/Center in Carterville, IL
• Providers in Carterville, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.