OrganizationActive
Prowave Diagnostics LLC
NPI 1265786305 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Ridgedale, MO
Provider details
- NPI number
- 1265786305
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Parent organization
- Igh LLC
- Organization subpart
- Yes
- Authorized official
- Stephanie Conger, Billing Manager(615) 419-3375
Specialties & taxonomies
Suppliers
Practice location
238 Peach Ln
Ridgedale, MO 65739-4182
Phone: (831) 477-6633
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 130
Ridgedale, MO 65739-0130
Registry dates
- Enumerated
- 2012-10-27
- Last updated
- 2012-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.