Organization
MASON CITY IMAGING PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY A GIBBONS M.D. (PRESIDENT)
(641) 422-6830
Entity
Organization
Contact information
Practice address
520 S PIERCE AVE, MASON CITY, IA 50401-2749
(641) 422-6767
Mailing address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 422-6767
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483560
—
IA
Enumeration date
04/13/2006
Last updated
08/22/2020
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