Organization Active NPI

Belleville Imaging, Inc.

  • Mammography Clinic/Center
  • Swansea, IL
National Provider Identifier
1497857593
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
364970 Issued in IL
Legal business name
BELLEVILLE IMAGING, INC.
Practice address
15 Park PL
Swansea, IL 62226-2968
Phone
(618) 233-9729
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Mr. David R. Horace
Title
President
Phone
(618) 233-9729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 364970 IL Primary

Addresses

Primary practice location

15 Park PL
Swansea, IL 62226-2968

Mailing address

15 Park PL
Swansea, IL 62226-2968
Phone (618) 233-9729

National Provider Directory

National Provider Directory

Locations

2900 Frank Scott Pkwy W
Ste 920C
Belleville, IL 62223
Phone (618) 233-9729

15 Park Pl
Swansea, IL 62226
Phone (618) 233-9729

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1497857593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262968",
            "telephone_number": "618-233-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262968",
            "telephone_number": "618-233-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVILLE IMAGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "HORACE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-233-9729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "IL",
            "license": "364970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.