NPI 1265786305
Prowave Diagnostics LLC
Practice location
- Address
- 238 Peach Ln, Ridgedale, MO 65739-4182
- Phone
- (831) 477-6633
- Mailing address
- PO Box 130, Ridgedale, MO 65739-0130
Authorised official
- Name
- Stephanie Conger
- Title
- Billing Manager
- Phone
- (615) 419-3375
Registered specialties
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
Registry record
- NPI
- 1265786305
- Entity type
- Organization
- NPI issued
- 27 Oct 2012
- Record last updated
- 27 Oct 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.