Organization
RADIOLOGY GROUP PC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HAUBER (ADMINISTRATOR)
(563) 421-5643
Entity
Organization
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 359-3949
Mailing address
1970 E 53RD ST, DAVENPORT, IA 52807-2710
(563) 359-3949
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063016
—
IA
01
—
30005
BCBS OF IOWA
—
01
—
CP8211
RAILROAD MEDICARE
—
Enumeration date
03/24/2006
Last updated
10/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us