Organization
HEARTLAND IMAGING SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. HADFORD M.D. (PRESIDENT)
(308) 398-6400
Entity
Organization
Contact information
Practice address
3610 RICHMOND CIR, GRAND ISLAND, NE 68803-3927
(308) 398-6400
(308) 381-1560
Mailing address
2808 OLD FAIR RD, GRAND ISLAND, NE 68803-5220
(308) 382-6856
(308) 381-1560
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02813
BLUE CROSS BLUE SHIELD
NE
05
—
0721225
—
IA
Enumeration date
06/30/2006
Last updated
01/26/2017
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