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David P Johnson
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Loves Park, Illinois
NPI 1801842968

David P Johnson is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Loves Park, IL. David P Johnson practices in Loves Park, IL. The NPI Number for David P Johnson is 1801842968 and holds a License No. 500498218 (Illinois).

The current practice location address for David P Johnson is 8198 Commerce Dr Ste A, Loves Park, IL and can be reached out via phone at 815-544-7120 and via fax at 815-885-4271.

Location: 8198 Commerce Dr Ste A, Loves Park, IL, 61111-5710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801842968
Provider Name
David P Johnson
Credential
Provider Entity Type
Organization
Address
8198 Commerce Dr Ste A, Loves Park, IL, 61111-5710
Phone Number
815-544-7120
Fax Number
815-885-4271
Provider Enumeration Date
05/26/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
8198 Commerce Dr Ste A
City
Loves Park
State
Illinois
Zip
61111-5710
Phone Number
815-544-7120
Fax Number
815-885-4271
person
Provider Business Mailing Address Details
Address
8198 Commerce Dr Ste A
City
Loves Park
State
Illinois
Zip
61111-5710
Phone Number
815-544-7120
Fax Number
815-885-4271
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
500498218 (Illinois)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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