OrganizationActive
Sports Medicine Diagnostic Center LLC
NPI 1467411793 · Magnetic Resonance Imaging Radiologic Technologist · Ottumwa, IA
Provider details
- NPI number
- 1467411793
- Entity type
- Organization
- Primary specialty
- Magnetic Resonance Imaging Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Donald Berg, Manager(641) 683-1113
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1005 Pennsylvania Ave
Suite 201b
Ottumwa, IA 52501-6413
Phone: (641) 683-1113
Fax: (641) 683-1114
Street-level locationGet directions
Mailing address
1005 Pennsylvania Ave
Ottumwa, IA 52501-6413
Other names (DBA / former)
- Other name
- Southern Iowa Open Mri
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2012-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.