Prairie Diagnostic Center, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PRAIRIE DIAGNOSTIC CENTER, LLC

Practice address

401 E. Carpenter St.
Springfield, IL 62702

Phone

(217) 788-0706

Fax

(217) 788-0848

NPI assigned

May 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frank L. Mikell, M.D.NPI 1669582904

Title

President

Phone

(217) 788-0706

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank L Mikell, M.D.

  • Specialist
  • Springfield, IL
  • NPI 1669582904
  NPD (past) Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932154440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E MASON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011034",
            "telephone_number": "217-788-0706",
            "fax_number": "217-788-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E. CARPENTER ST.",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62702",
            "telephone_number": "217-788-0706",
            "fax_number": "217-788-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE DIAGNOSTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIKELL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-788-0706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharmila Prabhu, DO
• Amruta Pradhan
• Prairie Bleeding and Clotting Center
• Prairie Cardiovascular Consultants LTD
• Prairie Cardiovascular Consultants LTD
• Prairie Eye Center LTD (Prairie Retina Center)
• Prairie Eye Center, LTD (Prairie Eye & Lasik Center)
• Prairie Podiatry L.L.C.
• Prairie Psychotherapy Associates, PC
• Prairie Sleep Center LLC

• Radiology Clinic/Center in Springfield, IL
• Providers in Springfield, 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 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.