BLOOMINGTON RADIOLOGY S C – NPI #1700831773
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

BLOOMINGTON RADIOLOGY S C is a radiologist located in NORMAL, IL. NPPES has assigned the NPI number 1700831773 to BLOOMINGTON RADIOLOGY S C on May 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 5 years ago on May 27, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLOOMINGTON RADIOLOGY S C below.

NPI Profile for
BLOOMINGTON RADIOLOGY S C

NPI Number
1700831773
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLOOMINGTON RADIOLOGY S C
Primary location
2200 FORT JESSE RD
SUITE 280
NORMAL, IL 61761-6286
Phone: (309) 452-1788 Fax: (309) 862-1302
Mailing address
PO BOX 3668
BLOOMINGTON, IL 61702-3668
Phone: (309) 452-1788 Fax: (309) 862-1302
Organization Subpart
No
Authorized Official
AJAY MALPANI
PRESIDENT
Phone: (309) 452-1788
Updated
Certification Date
May 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 IL 042001755
2085R0204X
- Radiology / Vascular & Interventional Radiology		 IL 042001755
2085N0904X
- Radiology / Nuclear Radiology		 IL 042001755
2085N0700X
- Radiology / Neuroradiology		 IL 042001755
2085B0100X
- Radiology / Body Imaging		 IL 042001755

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.