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PROVENA IMAGING SERVICES INC NPI 1649383910


NPI Information

NPI: 1649383910
Provider Name: PROVENA IMAGING SERVICES INC

Doing Business As: PROVENA HEALTH CENTER FOR DIAGNOSTIC IMAGING

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1416C SOUTH RANDALL ROAD
GENEVA, IL
ZIP 60134
Phone: (630) 208-9325
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PROVENA IMAGING SERVICES INC is a diagnostic radiology radiology in Geneva, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROVENA IMAGING SERVICES INC NPI is 1649383910. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Provena Health Center For Diagnostic Imaging.

The provider's business location address is:

1416C SOUTH RANDALL ROAD
GENEVA, IL
ZIP 60134
Phone: (630) 208-9325
Fax: (630) 208-9326

The provider's authorized official is Edward Molare .
The authorized official title is President and has the following contact phone number (952) 525-6338.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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