Magnetic Imaging of Belleville, LTD

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MAGNETIC IMAGING OF BELLEVILLE, LTD

Practice address

7 Christopher Dr
Belleville, IL 62226-5958

Phone

(618) 277-0600

Fax

(618) 277-0609

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Donna L Burch

Title

Credentialing Specialist

Phone

(205) 685-5075

Specialties & licenses 1

Addresses

Other names 1

• Healthsouth Diagnostic Center of Belleville Doing business as

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831147321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHRISTOPHER DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265958",
            "telephone_number": "618-277-0600",
            "fax_number": "618-277-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CHRISTOPHER DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265958",
            "telephone_number": "618-277-0600",
            "fax_number": "618-277-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNETIC IMAGING OF BELLEVILLE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "205-685-5075"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsouth Diagnostic Center of Belleville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen June Macleod
• William Madaio, DMD
• Kayla Madison
• Lamisha Madison
• Diane M Maes, RD
• Jessica Mahassek, CRNA
• Hatim A Mahmood, M.D.
• Julie Malherek, PT
• Nitin Gulshan Malhotra, MD
• Jordan Danielle Malm, LPC, PLPC

• Physiological Laboratory in Belleville, IL
• Providers in Belleville, IL by specialty
• Physiological Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.