Organization
IOWA OPEN MRI
Active
Other names
Hawkeye Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIAYONA L TORRES (BILLING ADMINISTRATOR)
(219) 793-9655
Entity
Organization
Contact information
Practice address
1100 6TH STREET, SUITE 101, CORALVILLE, IA 52241
(319) 337-7458
(319) 337-7510
Mailing address
PO BOX 1170, DEPT 5299, MILWAUKEE, WI 53201-1170
(219) 793-9655
(219) 793-9692
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4081794
—
IA
01
—
42645
BLUE CROSS BLUE SHIELD WELLMARK
IA
Enumeration date
10/02/2006
Last updated
11/26/2008
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