Sports Medicine Diagnostic Center Llc in Ottumwa - Magnetic Resonance Imaging
Sports Medicine Diagnostic Center Llc - NPI 1467411793
Sports Medicine Diagnostic Center Llc is a Magnetic Resonance Imaging in Ottumwa, Iowa. Sports Medicine Diagnostic Center Llc practices all healthcare services and medical treatments related to Magnetic Resonance Imaging. The NPI Number for Sports Medicine Diagnostic Center Llc is 1467411793. The last update date is 2012-02-22.
Sports Medicine Diagnostic Center Llc's current location address is 1005 Pennsylvania Ave, Ottumwa, Iowa. You can contact this provider via phone number 6416831113 and fax number 6416831114. The mailing address for Sports Medicine Diagnostic Center Llc is 1005 Pennsylvania Ave, Ottumwa, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sports Medicine Diagnostic Center Llc |
|---|---|
| Address | 1005 Pennsylvania Ave, Ottumwa, Iowa |
| Phone Number | 6416831113 |
| Fax Number | 6416831114 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Berg D Donald |
| Credentials | M.D. |
| Telephone Number | 6416831113 |
NPI Number Detail
| NPI Number | 1467411793 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2012-02-22 |
Provider Mailing Address Detail
| Address | 1005 Pennsylvania Ave |
|---|---|
| City | Ottumwa |
| State | Iowa (IA) |
| Post Code | 525016413 |
| Phone Number | 6416831113 |
| Fax Number | 6416831114 |
Provider's Primary Taxonomy Detail
| Speciality | Magnetic Resonance Imaging |
|---|---|
| Taxonomy | 2471M1202X |
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Definition: A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 210245 | IA | -- | |
| 300133842 | IA | RAILROAD MEDICARE | |
| 22312 | IA | WELLMARK |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sports Medicine Diagnostic Center Llc by the Centers for Medicare & Medicaid Services?
The Sports Medicine Diagnostic Center Llc has been issued the NPI (National Provider Identifier) 1467411793 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Sports Medicine Diagnostic Center Llc?
The Sports Medicine Diagnostic Center Llc is situated at 1005 Pennsylvania Ave, in the city of Ottumwa, state of IA, with the zip code 525016413.
What is Sports Medicine Diagnostic Center Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sports Medicine Diagnostic Center Llc's area of specialization is Magnetic Resonance Imaging, and the corresponding taxonomy code that categorizes this field of practice is 2471M1202X.
On what date did the Sports Medicine Diagnostic Center Llc receive the assignment of its 1467411793 from the Centers for Medicare & Medicaid Services?
The Sports Medicine Diagnostic Center Llc was issued its 1467411793 by the Centers for Medicare & Medicaid Services on 2006-03-23.
When was the Sports Medicine Diagnostic Center Llc's information last updated?
The Sports Medicine Diagnostic Center Llc's information was last updated on 2012-02-22.