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DIAGNOSTIC NEURO TECHNOLOGY, LLC
NPI 1366475501
Radiologic Technologist in Bloomington, IL

Active since July 09, 2006
1015 S MERCER AVE, BLOOMINGTON, IL 61701(309) 662-7500(309) 662-7333 Get Directions Write a Review

NPPES record last updated: January 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diagnostic Neuro Technology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAGNOSTIC NEURO TECHNOLOGY, LLC (NPI 1366475501) is a healthcare organization registered as a radiologic technologist in Bloomington, Illinois and active in the NPI registry since July 2006. The organization lists David R Jones, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1366475501
Entity TypeOrganization
Primary Taxonomy247100000X
Legal Business NameDIAGNOSTIC NEURO TECHNOLOGY, LLC
Location Address1015 S MERCER AVEBloomington, IL 61701-7107
Mailing Address1015 S Mercer AveBloomington, IL 61701-7107 · (309) 662-7500 · Fax (309) 662-7333
Phone(309) 662-7500
Fax(309) 662-7333
Organization SubpartNo
Authorized OfficialDavid R JonesChief Financial Officer · (309) 662-7500
Enumeration DateJuly 9, 2006
Last NPPES UpdateJanuary 21, 2009
✔ NPI 1366475501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
1015 S MERCER AVE, Bloomington, IL 61701
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Other Identifiers 2

Medicare ID-Type Unspecified212584
Medicaid=========1IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY JACKSON
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 663-0488
KAITLIN ROTHOLTZ
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
MORGAN RIEBE
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
MAKAYLEE JOHNSON
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (866) 727-8274
DONNY BOUNDS RN
Registered Nurse
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 662-4321
MS. RACHEL A GAWTHORP RN
Registered Nurse
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 662-0088
HANNAH KEUN
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
SENA NTUMY
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 663-0488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diagnostic Neuro Technology, LLC's NPI number?

The NPI number for Diagnostic Neuro Technology, LLC is 1366475501. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Diagnostic Neuro Technology, LLC located?

Diagnostic Neuro Technology, LLC is located at 1015 S Mercer Ave, Bloomington, IL 61701. The listed phone number is (309) 662-7500.

What is Diagnostic Neuro Technology, LLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Diagnostic Neuro Technology, LLC was last updated on January 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.