Imaging Center of Southern Illinois – Radiology Clinic/Center, NPI 1194710905

Imaging Center of Southern Illinois is a healthcare provider. based in Maryville, Illinois. specializing in Radiology Clinic/Center. The NPI Number for Imaging Center of Southern Illinois is 1194710905

Main info

Organization
Name
Imaging Center of Southern Illinois
NPI
1194710905
Phone
(618) 288-4929
Address
2016 VADALABENE DR
Authorized Official
MR. STEVEN MICHAEL MCRAE MANAGING MEMBER
Enumeration Date
19 September 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Imaging Center of Southern Illinois

  • 2016, Vadalabene Drive, Maryville, Madison County, Illinois, 62062, United States

    MARYVILLE, IL 620626901

    Phone: (618) 288-4929

    Fax: (618) 288-4531

    Type: Location

  • PO BOX 868

    EDWARDSVILLE, IL 620250868

    Phone: (618) 659-1167

    Fax: (618) 659-1197

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62062)

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Reviews

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Frequently asked questions

Does Imaging Center of Southern Illinois have a public NPI I can cite?
Public records show Imaging Center of Southern Illinois under NPI 1194710905.
Does the public listing show Imaging Center of Southern Illinois as active?
Imaging Center of Southern Illinois's NPI record reflects an active status in NPPES.
What services align with Imaging Center of Southern Illinois's listing?
Imaging Center of Southern Illinois's public classification highlights Radiology Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Imaging Center of Southern Illinois?
Imaging Center of Southern Illinois is associated with Maryville, Illinois in the same public data insurers reference.
Can I export Imaging Center of Southern Illinois's record?
You can download the official NPPES record; we summarize key fields for readability.

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