ADVANCED IMAGING CENTER, LLC (NPI# 1619964467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619964467 |
| Entity Type | Organization |
| Organization Name | ADVANCED IMAGING CENTER, LLC |
| Practice Address |
615 Valley View Dr. Suite 101 Moline IL 61265-6150 |
| Mailing Address |
615 Valley View Dr Suite 202 Moline IL 61265-6150 |
| Practice Telephone | 3097430445 |
| Practice Fax Number | 3097644712 |
| Mailing Telephone | 3097621072 |
| Mailing Fax Number | 3097621094 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2017-10-06 |
| Authorized Official Name | DR. CRAIG P. TILLMAN (PRESIDENT) |
| Authorized Official Telephone | 3097621072 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831154533 | Advanced Imaging Center, LLC | Clinic/Center | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2006-04-18 |
| Street Address |
615 VALLEY VIEW DR. SUITE 101 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508866351 | Melvin J. Richards | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2005-07-22 |
| 1750590287 | Kelsey J. Moran | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2007-05-22 |
| 1154533057 | Casey A. Veach | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2007-05-04 |
| 1558353581 | Craig P. Tillman | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2005-08-16 |
| 1154323574 | Dipak S. Shah | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2005-08-15 |
| 1053312694 | Pranav P. Patel | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2005-08-04 |
| 1609877265 | John A. Swanson | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2005-08-04 |
| 1679574347 | Kyle R. Kreinbring | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2005-08-03 |
| 1073514758 | George M. Patramanis | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2005-08-03 |
| 1205837804 | Steven A. Cremer | Radiology | 615 Valley View Dr., Suite 202, Moline, IL 61265-6180 | 2005-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245397538 | Gastroenterology Consultants, Sc | Clinic/Center | 545 Valley View Dr, Moline, IL 61265-6138 | 2007-01-03 |
| 1245216860 | Metro Mri Center, Limited Partnership | Clinic/Center | 615 Valley View Dr, Suite 102, Moline, IL 61265-6150 | 2005-12-15 |
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| 1285255463 | Blessing Corporate Services, Inc | Clinic/Center | 927 Broadway St Ste 132, Quincy, IL 62301-2737 | 2020-04-29 |
| 1518505585 | Akumin Health Illinois, LLC | Clinic/Center | 820 E Terra Cotta Ave Ste 136, Crystal Lake, IL 60014-3650 | 2019-12-20 |
| 1992349724 | Home Diagnostics Plus LLC | Clinic/Center | 2154 W Rosemont Ave Ste 2f, Chicago, IL 60659-3226 | 2019-11-05 |
| 1639731839 | United Providers Inc | Clinic/Center | 9325 S Thomas Ave, Bridgeview, IL 60455-2163 | 2019-07-08 |
| 1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
| 1013429125 | Diagnostic Services LLC | Clinic/Center | 16101 Weber Rd Unit A, Crest Hill, IL 60403-8813 | 2017-10-30 |
| 1285157313 | Midwest Advanced Radiology Center, LLC | Clinic/Center | 11600 S Kedzie Ave Ste G, Merrionette Park, IL 60803-6308 | 2017-07-20 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| 1922456474 | Berwyn Imaging LLC | Clinic/Center | 6728 Cermak Rd, Berwyn, IL 60402-2217 | 2016-05-25 |
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| 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.