INNOVATIVE RADIOLOGY LLC NPI 1700486776

NPI Information

NPI: 1700486776
Provider Name: INNOVATIVE RADIOLOGY, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
7601 OFFICE PLAZA DRIVE N
UNIT 115
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 222-0550
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INNOVATIVE RADIOLOGY, LLC is a diagnostic radiology radiology in West Des Moines, IA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. INNOVATIVE RADIOLOGY, LLC NPI is 1700486776. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7601 OFFICE PLAZA DRIVE N
UNIT 115
WEST DES MOINES, IA
ZIP 50266-026
Phone: (515) 222-0550
Fax: (515) 222-0544

The provider's authorized official is John Tentinger .
The authorized official title is President and has the following contact phone number (515) 554-2887.

The enumeration date for this NPI number is 10/29/2020 and was last updated on 4/4/2024.

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
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

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

NPI Synchronization or Removal

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