Prowave Diagnostics LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PROWAVE DIAGNOSTICS LLC

Practice address

238 Peach LN
Ridgedale, MO 65739-4182

Phone

(831) 477-6633

NPI assigned

Oct 27, 2012

Organization subpart

Yes

Parent organization

IGH LLCAs reported in NPPES

Name

Stephanie Conger

Title

Billing Manager

Phone

(615) 419-3375

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2012.

{
    "created_epoch": "1351296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351296000000",
    "number": "1265786305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "RIDGEDALE",
            "state": "MO",
            "postal_code": "657390130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 PEACH LN",
            "city": "RIDGEDALE",
            "state": "MO",
            "postal_code": "657394182",
            "telephone_number": "831-477-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWAVE DIAGNOSTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IGH LLC",
        "enumeration_date": "2012-10-27",
        "last_updated": "2012-10-27",
        "status": "A",
        "authorized_official_last_name": "CONGER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "615-419-3375"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas C. Yiannios D.D.S., P.C.

• All providers in Ridgedale, MO
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.