Salem Flora Radiology, S.C.
Radiology, Diagnostic Radiology in Salem, IL. Organization (NPI-2).
NPI number1013046366
StatusActive
Last updated in NPPESApr 20, 2008
Details
- NPI
- 1013046366
- Entity type
- Organization (NPI-2)
- Legal business name
- Salem Flora Radiology, S.C.
- Organization subpart
- No
- Enumeration date
- Mar 5, 2007
- Last updated
- Apr 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 042-003800 | IL | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 036-046367 | IL |
Practice location
815 W Main StSalem, IL 62881-1408
Phone 618-548-2843 · Fax 618-548-2896
Mailing address
815 W Main StP.O. Box 875
Salem, IL 62881-1408
Phone 618-548-2843 · Fax 618-548-2896
Authorized official
Preecha Tawjareon
Owner, President
6185482843
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Diagnostic Radiology Physician providers in Salem, IL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.