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Organization
MISSISSIPPI VALLEY IMAGING, LLC
Active
Organization
MISSISSIPPI VALLEY IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B DOOLEY M.D. (ADMINISTRATOR)
(563) 344-6600
Entity
Organization
Contact information
Practice address
3385 DEXTER CT, SUITE 102A, DAVENPORT, IA 52807-3471
(563) 344-6600
(563) 344-6751
Mailing address
3385 DEXTER CT, SUITE 102A, DAVENPORT, IA 52807-3471
(563) 344-6600
(563) 344-6751
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294256
—
IA
01
—
P00028171
RAILROAD MEDICARE
IA
Enumeration date
04/26/2006
Last updated
08/22/2020
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