NPI 1043392665 · live from the CMS NPI Registry
Gleason Diagnostic Imaging, PC
Radiology, Diagnostic Radiology in Boone, IA. National Provider Identifier 1043392665, active.
NPI record
| NPI | 1043392665 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1015 Union St, Boone, IA 50036 |
| Practice phone | 515-432-3140 |
| Mailing address | Po Box 2085, Sioux City, IA 51104 |
| Enumerated | October 20, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Greg Haar, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 2676 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.