Organization
A NEW IMAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A DANIELS (PRESIDENT)
(319) 232-3219
Entity
Organization
Contact information
Practice address
1607 HEATH ST, WATERLOO, IA 50703-1930
(319) 232-3219
Mailing address
1607 HEATH ST, WATERLOO, IA 50703-1930
(319) 232-3219
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0248278
—
IA
01
—
09017
IOWA BLUE CROSS BLUE SHIE
IA
Enumeration date
07/08/2005
Last updated
08/22/2020
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