Provider Demographics
NPI:1528030194
Name:DIAGNOSTIC IMAGING ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DIAGNOSTIC IMAGING ASSOCIATES, P.C.
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-643-2667
Mailing Address - Street 1:1111 SIXTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-2611
Mailing Address - Country:US
Mailing Address - Phone:515-643-2667
Mailing Address - Fax:515-643-2978
Practice Address - Street 1:1111 SIXTH AVENUE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-2611
Practice Address - Country:US
Practice Address - Phone:515-643-2667
Practice Address - Fax:515-643-2978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty