NPI 1467411793

Sports Medicine Diagnostic Center LLC

Organisation Magnetic Resonance Imaging Radiologic Technologist Ottumwa, IA

Practice location

Address: 1005 Pennsylvania Ave Suite 201b, Ottumwa, IA 52501-6413
Phone: (641) 683-1113
Fax: (641) 683-1114

Authorised official

Name: Donald D Berg
Title: Manager
Phone: (641) 683-1113

Registered specialties

Magnetic Resonance Imaging Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471M1202X

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Registry record

NPI: 1467411793
Entity type: Organization
NPI issued: 23 Mar 2006
Record last updated: 22 Feb 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.