OTTOWA IMAGING LLC NPI 1962599027

NPI Information

  • NPI: 1962599027
  • Provider Name: OTTOWA IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 1100 E NORRIS DR
    OTTAWA, IL
    ZIP 61350
  • Phone: (815) 434-8890

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NPI Details

OTTOWA IMAGING LLC is a diagnostic radiology radiology in Ottawa, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. OTTOWA IMAGING LLC NPI is 1962599027. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1100 E NORRIS DR
OTTAWA, IL
ZIP 61350-604
Phone: (815) 434-8890

The provider's authorized official is Joseph Ben Mallory .
The authorized official title is President and has the following contact phone number (815) 434-8890.

The enumeration date for this NPI number is 10/9/2006 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 RadiologyILLINOISYes

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: 3/30/2025

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