MERCY PET SCANNER LLC NPI 1205997673

NPI Information

NPI: 1205997673
Provider Name: MERCY PET SCANNER LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
411 LAUREL ST
SUITE 2310
DES MOINES, IA
ZIP 50314
Phone: (515) 643-5353
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MERCY PET SCANNER LLC is a diagnostic radiology radiology in Des Moines, IA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MERCY PET SCANNER LLC NPI is 1205997673. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

411 LAUREL ST
SUITE 2310
DES MOINES, IA
ZIP 50314-017
Phone: (515) 643-5353

The provider's authorized official is Rebecca Robbins .
The authorized official title is Director Of Billing and has the following contact phone number (515) 643-8672.

The enumeration date for this NPI number is 12/12/2006 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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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
1	1255349	MEDICAID	IOWA
2	33631	OTHER	IOWA	WELLMARK OF IOWA

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: 11/14/2023

NPI Synchronization or Removal

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