Provider Demographics
NPI:1568456812
Name:BTX IOWA INC.
Entity Type:Organization
Organization Name:BTX IOWA INC.
Other - Org Name:BIOTECH X-RAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:BISHOP
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-440-1770
Mailing Address - Street 1:PO BOX 57127
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50317-0003
Mailing Address - Country:US
Mailing Address - Phone:877-909-9729
Mailing Address - Fax:314-548-2920
Practice Address - Street 1:4309 NW URBANDALE DR
Practice Address - Street 2:STE 118
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-7910
Practice Address - Country:US
Practice Address - Phone:877-909-9729
Practice Address - Fax:314-548-2920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-01
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0144139Medicaid
IA791630007OtherRAILROAD MEDICARE
IA66355OtherCOVENTRY
IA14413Medicare ID - Type Unspecified
IA47771Medicare ID - Type Unspecified
IA0144139Medicaid