Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Sports Medicine Diagnostic Center LLC

Magnetic Resonance Imaging Radiologic Technologist in Ottumwa, IA · enumerated 2006 · authorized official Donald Berg, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467411793

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Registry record

Entity type Organization (Type 2)

Legal business name Sports Medicine Diagnostic Center LLC

Other name <Unavail>

Practice address 1005 Pennsylvania Ave, Suite 201b, Ottumwa, IA, 52501

Phone (641) 683-1113

Fax (641) 683-1114

Enumeration date Mar 23, 2006

Last updated in NPPES Feb 22, 2012

Taxonomy & classification

2471M1202X Magnetic Resonance Imaging Radiologic Technologist Technologists, Technicians & Other Technical Service Providers Primary

Authorized official

Name Donald Berg

Title Manager

Phone (641) 683-1113

Other identifiers

Identifier	Type	State	Issuer
0210245	Medicaid	IA	-
300133842	Other	IA	RAILROAD MEDICARE
22312	Other	IA	WELLMARK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Sports Medicine Diagnostic Center LLC?

Sports Medicine Diagnostic Center LLC is registered in NPPES as a Magnetic Resonance Imaging Radiologic Technologist (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-22.