Clinton Imaging Services, Llc

LBN: Clinton Imaging Services, Llc
Clinton Imaging Services, Llc is an health care organization with primary practice located at 1410 N 4Th St Suite A102, Clinton IA 52732-2940. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Clinton Imaging Services, Llc can be contacted via phone (563) 244-3674, or through Tillman, Craig P. via phone (309) 762-1072.

Contact Information

Primary practice address
1410 N 4Th St Suite A102 Clinton IA 52732-2940
Phone: (563) 244-3674
Fax: (563) 244-3789
Website:
Map and Directions
Authorized official contact:
Name: Tillman, Craig P. Doctor of Medicine (MD)
Phone: (309) 762-1072

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1831187665
LBN Legal business name Clinton Imaging Services, Llc
DBA Doing business as
Authorized official Tillman, Craig P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2005
Last updated May 1st, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831187665 NPPES
Iowa MEDICAID 0267013

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