ADVANCED IMAGING CENTER LLC NPI 1619964467

NPI Information

  • NPI: 1619964467
  • Provider Name: ADVANCED IMAGING CENTER, LLC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • CLIA Number: 14D2188279
  • Address: 615 VALLEY VIEW DR.
    SUITE 101
    MOLINE, IL
    ZIP 61265
  • Phone: (309) 743-0445

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NPI Details

ADVANCED IMAGING CENTER, LLC is a radiology clinic center in Moline, IL. ADVANCED IMAGING CENTER, LLC NPI is 1619964467. The provider is registered as an organization entity type.

The provider's business location address is:

615 VALLEY VIEW DR.
SUITE 101
MOLINE, IL
ZIP 61265-150
Phone: (309) 743-0445
Fax: (309) 764-4712

The provider's authorized official is Sharlee Lebleu .
The authorized official title is Vice President and has the following contact phone number (480) 321-7026.

The CLIA number assigned to this NPI record is 14D2188279 - independent with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray for bone length assessment (HCPCS:77073)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Review by radiologist of shoulder joint image (HCPCS:73040)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Diagnostic ct scan of large intestine without contrast (HCPCS:74261)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)

The enumeration date for this NPI number is 10/5/2005 and was last updated on 7/10/2024.

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
1261QR0200XClinic/CenterRadiologyYes

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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