Bloomington Radiology S C in Bloomington - Body Imaging
Bloomington Radiology S C - NPI 1700831773
Bloomington Radiology S C is a Body Imaging in Bloomington, Illinois. Bloomington Radiology S C practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Bloomington Radiology S C is 1700831773. The last update date is 2021-05-27.
Bloomington Radiology S C's current location address is Po Box 3668, Bloomington, Illinois. You can contact this provider via phone number 3094521788 and fax number 3098621302. The mailing address for Bloomington Radiology S C is Po Box 3668, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Bloomington Radiology S C |
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Address | Po Box 3668, Bloomington, Illinois |
Phone Number | 3094521788 |
Fax Number | 3098621302 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Malpani Ajay |
Credentials | M.D. |
Telephone Number | 3094521788 |
NPI Number Detail
NPI Number | 1700831773 |
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Provider Enumeration Date | 2006-05-24 |
Last Updated Date | 2021-05-27 |
Provider Mailing Address Detail
Address | Po Box 3668 |
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City | Bloomington |
State | Illinois (IL) |
Post Code | 617023668 |
Phone Number | 3094521788 |
Fax Number | 3098621302 |
Provider's Primary Taxonomy Detail
Speciality | Body Imaging |
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Taxonomy | 2085B0100X |
Licence No | 42001755 |
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
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What is the Bloomington Radiology S C's 1700831773?
The Bloomington Radiology S C's NPI (National Provider Identifier) Number is 1700831773. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bloomington Radiology S C's facilities are geographically located?
The facilities of Bloomington Radiology S C are physically situated at the following location: Po Box 3668, Bloomington, IL, 617023668.
What is the Bloomington Radiology S C's specialty and taxonomy code?
The Bloomington Radiology S C's specialty is Body Imaging, and the corresponding taxonomy code is 2085B0100X.
On what date did the Bloomington Radiology S C receive the assignment of its 1700831773 from the Centers for Medicare & Medicaid Services?
The Bloomington Radiology S C was issued its 1700831773 by the Centers for Medicare & Medicaid Services on 2006-05-24.
As of what date was the information regarding Bloomington Radiology S C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bloomington Radiology S C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-27.