Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marion Diagnostic Center, LLC

Organization Emergency Medicine Physician · NPI 1366543084

Marion Diagnostic Center, LLC is an Emergency Medicine Physician in Marion, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3003 Civic Circle Blvd Ste 200
Marion, IL 62959-5259
Phone: (618) 993-1400
Fax: (618) 993-1522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Gastroenterology Physician Taxonomy 207RG0100X
Hematology & Oncology Physician Taxonomy 207RH0003X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Podiatrist Taxonomy 213E00000X
Radiology Clinic/Center Taxonomy 261QR0200X
Rural Health Clinic/Center Taxonomy 261QR1300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1366543084
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Carter — Office Administrator · (618) 993-1400
NPI enumeratedSeptember 26, 2006
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address3003 Civic Circle Blvd Suite 200, Marion, IL 62959-5259

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