Organization
INNOVATIVE RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TENTINGER MD (PRESIDENT)
(515) 554-2887
Entity
Organization
Contact information
Practice address
7601 OFFICE PLAZA DRIVE N, UNIT 115, WEST DES MOINES, IA 50266-5026
(515) 222-0550
(515) 222-0544
Mailing address
PO BOX 2660, WATERLOO, IA 50704-2660
(800) 728-3044
(319) 260-2102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
04/04/2024
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