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Maryville Imaging, LLC — NPI 1831840180, Edwardsville, IL | NPI Central

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NPI 1831840180

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Maryville Imaging, LLC

NPI 1831840180 · Radiology Clinic/Center · Edwardsville, IL

Provider details

NPI number: 1831840180
Entity type: Organization
Primary specialty: Radiology Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Maryville Imaging, LLC
Organization subpart: Yes
Authorized official: Brian Engelke, Cfo(618) 635-4242

Specialties & taxonomies

Radiology Clinic/CenterPrimary261QR0200X
Ambulatory Health Care Facilities

Practice location

3417 Anderson Healthcare Dr

Edwardsville, IL 62025-7784

Phone: (618) 288-4929

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

6800 State Route 162

Maryville, IL 62062-8500

Other names (DBA / former)

Doing business as: Goshen Imaging
Doing business as: Goshen Imaging

Registry dates

Enumerated: 2022-01-18
Last updated: 2022-08-04
Certified: 2022-08-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.