Organization
IOWA DIAGNOSTIC IMAGING & PROCEDURE CENTER, L C
Active
Other names
Iowa Radiology, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI K. TIEDEMANN (BILLING OFFICE COORDINATOR)
(515) 961-0453
Entity
Organization
Contact information
Practice address
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325-8162
(515) 226-9810
(515) 226-8408
Mailing address
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325-8162
(515) 226-9810
(515) 226-8408
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273326
—
IA
Enumeration date
05/02/2006
Last updated
07/01/2022
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