GLEASON DIAGNOSTIC IMAGING PC NPI 1043392665

NPI Information

  • NPI: 1043392665
  • Provider Name: GLEASON DIAGNOSTIC IMAGING, PC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 1015 UNION ST
    BOONE, IA
    ZIP 50036
  • Phone: (515) 432-3140

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NPI Details

GLEASON DIAGNOSTIC IMAGING, PC is a diagnostic radiology radiology in Boone, IA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GLEASON DIAGNOSTIC IMAGING, PC NPI is 1043392665. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1015 UNION ST
BOONE, IA
ZIP 50036-821
Phone: (515) 432-3140
Fax: (515) 433-8916

The provider's authorized official is Greg A Haar .
The authorized official title is Manager and has the following contact phone number (515) 230-3363.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology2676IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10415497MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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