| Gateway Imaging: Waterloo | |
|
509 Hamacher St Ste 300 Waterloo IL 62298-1592 | |
| (818) 666-0602 | |
| Not Available |
| Full Name | Gateway Imaging: Waterloo |
|---|---|
| Speciality | Clinic/center |
| Location | 509 Hamacher St Ste 300, Waterloo, Illinois |
| Authorized Official Name and Position | Jonathan Burket (CORPORATE COMPLIANCE) |
| Authorized Official Contact | 8186660602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Imaging: Waterloo 509 Hamacher St Ste 300 Waterloo IL 62298-1592 Ph: (618) 393-9790 | Gateway Imaging: Waterloo 509 Hamacher St Ste 300 Waterloo IL 62298-1592 Ph: (818) 666-0602 |
| NPI Number | 1770283301 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770283301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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