institution
Sports Medicine Diagnostic Center Llc
Magnetic Resonance Imaging Radiologic Technologist in Ottumwa, Iowa
NPI 1467411793

Sports Medicine Diagnostic Center Llc is a Magnetic Resonance Imaging Radiologic Technologist based in Ottumwa, IA and is specialized in Magnetic Resonance Imaging. Sports Medicine Diagnostic Center Llc practices in Ottumwa, IA. The NPI Number for Sports Medicine Diagnostic Center Llc is 1467411793 and holds a License No. (Iowa).

The current practice location address for Sports Medicine Diagnostic Center Llc is 1005 Pennsylvania Ave, Ottumwa, IA and can be reached out via phone at 641-683-1113 and via fax at 641-683-1114. You can also correspond with Sports Medicine Diagnostic Center Llc through the mailing address at 1005 PENNSYLVANIA AVE, OTTUMWA, IA - 52501-6413 (mailing address contact number: 641-683-1113).

Location: 1005 Pennsylvania Ave, Ottumwa, IA, 52501-6413
institution
Provider Profile Details
NPI Number
1467411793
Provider Name
Sports Medicine Diagnostic Center Llc
Credential
Provider Entity Type
Organization
Address
1005 Pennsylvania Ave, Ottumwa, IA, 52501-6413
Phone Number
641-683-1113
Fax Number
641-683-1114
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0210245 05 IA
300133842 01 IA RAILROAD MEDICARE
22312 01 IA WELLMARK
institution
Provider Business Practice Location Address Details
Address
1005 Pennsylvania Ave
City
State
Zip
52501-6413
Phone Number
641-683-1113
Fax Number
641-683-1114
person
Provider Business Mailing Address Details
Address
1005 Pennsylvania Ave
City
State
Zip
52501-6413
Phone Number
641-683-1113
Fax Number
641-683-1114
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Magnetic Resonance Imaging
Taxonomy
License No.
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Definition
Definition to come...
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