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Organization

DIAGNOSTIC VASCULAR TESTING, INC.

Active
Other names
DVT Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JODIE LYNNE STENDEBACK RVT, RDMS (PRESIDENT, EXECUTIVE PARTNER)
(779) 456-5591
Entity
Organization

Contact information

Practice address
94 SAPPHIRE PT, MORTON, IL 61550-3608
(309) 641-0335
(309) 641-0331
Mailing address
94 SAPPHIRE PT, MORTON, IL 61550-3608
(309) 641-0335
(309) 641-0331

Taxonomy

Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary

Other

Enumeration date
07/13/2017
Last updated
08/13/2019
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