OrganizationActive
Advanced Imaging Center, LLC
NPI 1619964467 · Radiology Clinic/Center · Moline, IL
Provider details
- NPI number
- 1619964467
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karen Vaughn, Ao(629) 317-1465
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
615 Valley View Dr Ste 101
Moline, IL 61265-6150
Phone: (815) 315-1718
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4688
Rock Island, IL 61204-4688
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.