Provider Demographics
NPI:1396368494
Name:HEARTLAND IMAGING CENTER OF HASTINGS LLC
Entity Type:Organization
Organization Name:HEARTLAND IMAGING CENTER OF HASTINGS LLC
Other - Org Name:HEARTLAND IMAGING CENTER OF HASTINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MURDOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-858-8942
Mailing Address - Street 1:PO BOX 1725
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68802-1725
Mailing Address - Country:US
Mailing Address - Phone:308-390-1780
Mailing Address - Fax:308-398-6408
Practice Address - Street 1:3203 OSBORNE DR W STE 102A
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-9140
Practice Address - Country:US
Practice Address - Phone:402-858-8942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-22
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty