SOUTHERN IOWA OPEN MRI
NPI 1467411793
Radiologic Technologist - Magnetic Resonance Imaging in Ottumwa, IA

Q: What is Sports Medicine Diagnostic Center LLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Magnetic Resonance Imaging, with taxonomy code 2471M1202X.

Active since March 23, 2006

1005 PENNSYLVANIA AVE, SUITE 201B, OTTUMWA, IA 52501(641) 683-1113(641) 683-1114 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Iowa Open Mri NPPES

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

SOUTHERN IOWA OPEN MRI (NPI 1467411793) is a healthcare organization registered as a magnetic resonance imaging in Ottumwa, Iowa and active in the NPI registry since March 2006. The organization lists Donald D Berg, Manager, as its authorized official.

NPPES Registry Identity

NPI1467411793

Entity TypeOrganization

Primary Taxonomy2471M1202X

Legal Business NameSPORTS MEDICINE DIAGNOSTIC CENTER LLC

Location Address1005 PENNSYLVANIA AVE, SUITE 201BOttumwa, IA 52501-6413

Mailing Address1005 Pennsylvania Ave, Suite 201bOttumwa, IA 52501-6413 · (641) 683-1113 · Fax (641) 683-1114

Phone(641) 683-1113

Fax(641) 683-1114

Organization SubpartNo

Authorized OfficialDonald D BergManager · (641) 683-1113

Enumeration DateMarch 23, 2006

Last NPPES UpdateFebruary 22, 2012

✔ NPI 1467411793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · Magnetic Resonance ImagingTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code2471M1202X

Definition

A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam techniques, equipment protocols, radiation safety, and patient care.

1005 PENNSYLVANIA AVE, Ottumwa, IA 52501

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Other Names 1

Other NameSouthern Iowa Open Mri

Other Identifiers 4

Medicare ID-Type Unspecified19151IA

Other300133842IA · Railroad Medicare

Other22312IA · Wellmark

Medicaid0210245IA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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.

DR. NORMAN RUSH HUTCHISON M.D.

Ophthalmology

1005 PENNSYLVANIA AVE, SUITE 110
OTTUMWA, IA 52501

Wapello County (641) 682-8571

THOMAS H HOSKINS PA

Physician Assistant

1005 PENNSYLVANIA AVE, SUITE 212
OTTUMWA, IA 52501

Wapello County (641) 682-5443

DONALD D BERG MD PC

Specialist

1005 PENNSYLVANIA AVE, SUITE 212
OTTUMWA, IA 52501

Wapello County (641) 682-5443

OTTUMWA HEALTH GROUP LLC

Obstetrics & Gynecology

1005 PENNSYLVANIA AVE, STE 204
OTTUMWA, IA 52501

Wapello County (641) 682-8761

ELVIN W MCCARL M.D.

Radiology (Diagnostic Radiology)

1005 PENNSYLVANIA AVE, SUITE 103
OTTUMWA, IA 52501

Wapello County (641) 682-5453

MICHAEL T SHAEFFER MD PC

Urology

1005 PENNSYLVANIA AVE, #208
OTTUMWA, IA 52501

Wapello County (641) 682-5481

FOREFRONT DERMATOLOGY, S.C.

Dermatology

1005 PENNSYLVANIA AVE, SUITE 210
OTTUMWA, IA 52501

Wapello County (641) 683-3195

STANLEY A BLEW MD

Internal Medicine

1005 PENNSYLVANIA AVE, SUITE 104
OTTUMWA, IA 52501

Wapello County (641) 682-4594

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 Sports Medicine Diagnostic Center LLC's NPI number?

The NPI number for Sports Medicine Diagnostic Center LLC is 1467411793. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is also known as Southern Iowa Open Mri.

Where is Sports Medicine Diagnostic Center LLC located?

Sports Medicine Diagnostic Center LLC is located at 1005 Pennsylvania Ave Suite 201B, Ottumwa, IA 52501. The listed phone number is (641) 683-1113.

What is Sports Medicine Diagnostic Center LLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Magnetic Resonance Imaging, with taxonomy code 2471M1202X.

What insurance does Sports Medicine Diagnostic Center LLC accept?

Health plans from UnitedHealthcare list Sports Medicine Diagnostic Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sports Medicine Diagnostic Center LLC was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.