MISSISSIPPI VALLEY IMAGING, LLC


Address: 3385 Dexter Ct, Suite 102a, Davenport, IA 52807-3471
Phone: 5633446600

MISSISSIPPI VALLEY IMAGING, LLC (NPI# 1023075876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023075876
Entity Type Organization
Organization Name MISSISSIPPI VALLEY IMAGING, LLC
Practice Address 3385 Dexter Ct
Suite 102a
Davenport
IA 52807-3471
Practice Telephone 5633446600
Practice Fax Number 5633446751
Mailing Telephone 5633446600
Mailing Fax Number 5633446751
Enumeration Date 2006-04-26
Last Update Date 2020-08-22
Authorized Official Name JOHN B DOOLEY (ADMINISTRATOR)
Authorized Official Telephone 5633446600
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA 0294256 05
IA RAILROAD MEDICARE P00028171 01

Office Location

Street Address 3385 DEXTER CT
SUITE 102A
City DAVENPORT
State IA
Zip Code 52807-3471

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528054566 Amy T Castro Physical Therapist 3385 Dexter Ct, Davenport, IA 52807-3471 2005-09-26
1598203572 Joseph Victor Piersanti Jr. Physical Therapist 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3471 2017-02-09
1265980668 Valerie Wold Nurse Practitioner 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 2016-09-14
1649690249 Sinan Gocmen Chiropractor 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 2014-04-22
1639593783 Lauren Wettach Physical Therapist 3385 Dexter Ct, Ste. 203, Davenport, IA 52807-3494 2014-02-10
1174967301 Margaret Ann Rechkemmer Occupational Therapist 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3471 2013-04-18
1750654604 Tara Marie Bries Physical Therapist 3385 Dexter Ct, Suite 203, Davenport, IA 52807-3494 2012-02-22
1407131410 Kevin Swanon, Pt P.C. Occupational Therapist 3385 Dexter Ct, Suite 301, Davenport, IA 52807-3494 2011-10-21
1073800561 Kathryn Lee Rockafellow Physical Therapist 3385 Dexter Ct, Ste 301, Davenport, IA 52807-3494 2011-07-05
1043516073 Elizabeth A Miller Physical Therapist 3385 Dexter Ct, Ste 301, Davenport, IA 52807-3494 2011-02-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710455423 Sarah Duvall Pharmacist 2790 East 53rd Street, Davenport, IA 52807 2018-11-12
1932686375 Costco Wholesale Corporation Hearing Aid Equipment 2790 East 53rd St., Davenport, IA 52807 2018-07-27
1902258379 Secure Dental II, LLC Dentist 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 2016-07-08
1003288663 Kristin Landram Pharmacist 4011 E 53rd Street, Davenport, IA 52807 2015-10-22
1912384918 Toshia Johnson Counselor 3515 Spring Street, Davenport, IA 52807 2015-04-29
1366849440 Dennis Aaron Brown Counselor 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 2014-12-04
1033514914 Rachel J Staron Counselor 2028 E 38th St Ste 3-5, Davenport, IA 52807 2014-11-04
1447651518 Anthony B. Dexter Chiropractor 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 2014-09-09
1932517588 Alan Christopher Rubach Dentist 3435 Spring St Ste 2, Davenport, IA 52807 2014-07-28
1851707459 Allison Maxwell Behavioral Analyst 4959 Utica Ridge Rd, Davenport, IA 52807 2014-07-03
Find all providers in zip 52807

Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336151554 Waves Advanced Ultrasound Clinic/Center 2200 Heritage Green Dr, Hiawatha, IA 52233-2326 2006-08-13
1568455483 Stoppelmoor Enterprises Inc Clinic/Center 2405 Towncrest Dr, Iowa City, IA 52240-6631 2005-08-25
1861737710 Physicians' Clinic of Iowa, PC Clinic/Center 202 10th Street Se, Cedar Rapids, IA 52403-2404 2012-12-04
1689805764 Ahmed Elahmady PC Clinic/Center 2745 Lincoln Way, Clinton, IA 52732-7201 2009-08-06
1871783829 Quality Care Clinic Clinic/Center 2745 Lincoln Way, Clinton, IA 52732-7201 2007-07-26
1457391849 St Lukes Health Resources Clinic/Center 2730 Pierce St, Suite 203, Sioux City, IA 51104-3796 2006-06-07
1841245586 Cedar Valley Medical Specialists PC Clinic/Center 4006 Johnathan St, Waterloo, IA 50701-9395 2006-05-23
1700862331 Metro Mri Center Limited Partnership Clinic/Center 4480 Utica Ridge Rd, Suite 120, Bettendorf, IA 52722-1656 2005-12-15
1831187665 Clinton Imaging Services, LLC Clinic/Center 1410 N 4th St, Suite A102, Clinton, IA 52732-2940 2005-10-06

Competitor

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City DAVENPORT
Zip Code 52807

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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