Central Iowa Hospital Corp Member

LBN: Iowa Diagnostic Imaging & Procedure L C
Central Iowa Hospital Corp Member is an health care organization with primary practice located at 4200 University Ave Suite 104, West Des Moines IA 50266-5945. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Iowa Diagnostic Imaging & Procedure L C can be contacted via phone (515) 961-0453, or through Tiedemann, Cheri via phone (515) 961-0453.

Contact Information

Primary practice address
4200 University Ave Suite 104 West Des Moines IA 50266-5945
Phone: (515) 961-0453
Fax: (515) 961-2714
Website:
Map and Directions
Authorized official contact:
Name: Tiedemann, Cheri
Phone: (515) 961-0453

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1508281205
LBN Legal business name Iowa Diagnostic Imaging & Procedure L C
DBA Doing business as Central Iowa Hospital Corp Member
Authorized official Tiedemann, Cheri
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2014
Last updated Jul 1st, 2022 - about 3 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 1508281205 NPPES
Iowa MEDICAID 2073326

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