ADVANCED IMAGING CENTER, LLC; NPI #1619964467

Contact Information

ADVANCED IMAGING CENTER, LLC

615 VALLEY VIEW DR STE 101
MOLINE, IL 61265-6150

Phone: 815-315-1718
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for ADVANCED IMAGING CENTER, LLC

NPI #	`1619964467`
LBN Legal business name	ADVANCED IMAGING CENTER, LLC
Authorized official	KAREN VAUGHN - (AO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/05/2005
Last updated	03/25/2026 - About 2 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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