Organization
CEDAR VALLEY MEDICAL SPECIALISTS PC
Active
Parent organization
CEDAR VALLEY MEDICAL SPECIALISTS, PC
Other names
Advanced Diagnostic Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEDAR VALLEY MEDICAL SPECIALISTS, PC
Authorized official
VINAY KANTAMNENI MD (CEO)
(319) 235-5390
Entity
Organization
Contact information
Practice address
4006 JOHNATHAN ST, WATERLOO, IA 50701-9387
(319) 236-2700
(319) 236-2714
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 235-5607
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0471573
—
IA
01
—
39266
WELLMARK
IA
Enumeration date
05/23/2006
Last updated
02/05/2026
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