Provider Type Icon

IOWA DIAGNOSTIC IMAGING & PROCEDURE CENTER L C NPI 1528026481


NPI Information

NPI: 1528026481
Provider Name: IOWA DIAGNOSTIC IMAGING & PROCEDURE CENTER, L C

Doing Business As: IOWA RADIOLOGY, P.C.

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 16D1093195

Address:
12368 STRATFORD DR
SUITE 300
CLIVE, IA
ZIP 50325
Phone: (515) 226-9810
Get Directions

IOWA DIAGNOSTIC IMAGING & PROCEDURE CENTER, L C is a diagnostic radiology radiology in Clive, IA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. IOWA DIAGNOSTIC IMAGING & PROCEDURE CENTER, L C NPI is 1528026481. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Iowa Radiology, P.c..

The provider's business location address is:

12368 STRATFORD DR
SUITE 300
CLIVE, IA
ZIP 50325-162
Phone: (515) 226-9810
Fax: (515) 226-8408

The provider's authorized official is Cheri K. Tiedemann .
The authorized official title is Billing Office Coordinator and has the following contact phone number (515) 961-0453.

The CLIA number assigned to this NPI record is 16D1093195 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 7/1/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10273326MEDICAIDIOWA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.