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INNOVATIVE RADIOLOGY, LLC
NPI 1700486776
Radiology - Diagnostic Radiology in West Des Moines, IA

Active since October 29, 2020CLIA 16D2343355 · Waiver
7601 OFFICE PLAZA DRIVE N, UNIT 115, WEST DES MOINES, IA 50266(515) 222-0550(515) 222-0544 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2024, Oct 29, 2020 (2 updates tracked since 2020).

About Innovative Radiology, Llc NPPES

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

INNOVATIVE RADIOLOGY, LLC (NPI 1700486776) is a healthcare organization registered as a diagnostic radiology in West Des Moines, Iowa and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists John Tentinger, President, as its authorized official.

NPPES Registry Identity

NPI1700486776
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameINNOVATIVE RADIOLOGY, LLC
Location Address7601 OFFICE PLAZA DRIVE N, UNIT 115West Des Moines, IA 50266-5026
Mailing AddressPo Box 2660Waterloo, IA 50704-2660 · (800) 728-3044 · Fax (319) 260-2102
Phone(515) 222-0550
Fax(515) 222-0544
Organization SubpartNo
Authorized OfficialJohn TentingerPresident · (515) 554-2887
Enumeration DateOctober 29, 2020
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1700486776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7601 OFFICE PLAZA DRIVE N, West Des Moines, IA 50266
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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 Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2343355

Innovative Radiology · West Des Moines, IA
Active · expires May 4, 2028
CLIA Number16D2343355
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorJohn Tentinger
Laboratory Phone(515) 222-0550
Laboratory LocationInnovative Radiology7601 Office Plaza Dr Ste 115, West Des Moines, IA 50266
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Innovative Radiology, LLC's NPI number?

The NPI number for Innovative Radiology, LLC is 1700486776. It was assigned to this organization in the NPPES registry on October 29, 2020.

Where is Innovative Radiology, LLC located?

Innovative Radiology, LLC is located at 7601 Office Plaza Drive N Unit 115, West Des Moines, IA 50266. The listed phone number is (515) 222-0550.

What is Innovative Radiology, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Innovative Radiology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2343355) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovative Radiology, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Innovative Radiology, 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 Innovative Radiology, LLC was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.