Radiologic Interpretations of Southern Illinois Ltd
NPI 1730218652ActiveOrganization· Radiologic Technologist· Carbondale, IL
Radiologic Technologist in Carbondale, Illinois, registered in NPPES in March 2007. The authorized official on file is Douglas L. Fulk, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1730218652 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 5, 2007 |
| Last updated in NPPES | Nov 12, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiologic Technologist Primary | 247100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MO) |
|---|