Organization
CLINTON IMAGING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG P. TILLMAN M.D. (PRESIDENT)
(309) 762-1072
Entity
Organization
Contact information
Practice address
1410 N 4TH ST, SUITE A102, CLINTON, IA 52732-2940
(563) 244-3674
(563) 244-3789
Mailing address
615 VALLEY VIEW DR, SUITE 202, MOLINE, IL 61265-6180
(309) 762-1072
(309) 762-1094
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267013
—
IA
Enumeration date
10/06/2005
Last updated
05/01/2013
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