Clinton Imaging Services, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CLINTON IMAGING SERVICES, LLC

Practice address

1410 N 4TH St
Suite A102
Clinton, IA 52732-2940

Phone

(563) 244-3674

Fax

(563) 244-3789

NPI assigned

Oct 6, 2005

Last updated

May 1, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Craig P. Tillman, M.D.NPI 1558353581

Title

President

Phone

(309) 762-1072

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Medical Center-Clinton, Inc.

  dba MercyOne Clinton Medical Center Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Clinton, IA
  • NPI 1093845737

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig P. Tillman, M.D.

  • Diagnostic Radiology Physician
  • Moline, IL
  • NPI 1558353581
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1831187665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656180",
            "telephone_number": "309-762-1072",
            "fax_number": "309-762-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N 4TH ST",
            "address_2": "SUITE A102",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527322940",
            "telephone_number": "563-244-3674",
            "fax_number": "563-244-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-762-1072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Community School District
• Clinton County Case Management
• Clinton Dental Associates PC
• Clinton Dental Surgery Center, P.C.
• Clinton Emergency Room Associates
• Clinton Medical Clinic Pharmacy Inc
• Clinton Municipal Transit
• Clinton Opco LLC
• Clinton Physical Therapy
• Clinton Physical Therapy

• Radiology Clinic/Center in Clinton, IA
• Providers in Clinton, IA by specialty
• Radiology Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.