Healthcare Provider Details

I. General information

NPI: 1881646297
Provider Name (Legal Business Name): CLEAR VIEW IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 S VICKSBURG ST
MARION IL
62959-1930
US

IV. Provider business mailing address

106 S VICKSBURG ST
MARION IL
62959-1930
US

V. Phone/Fax

Practice location:
  • Phone: 618-998-8400
  • Fax: 618-998-8440
Mailing address:
  • Phone: 618-998-8400
  • Fax: 618-998-8440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. RODNEY D BROWN
Title or Position: PRESIDENT
Credential:
Phone: 618-998-8400