Bloomington Radiology S C
Bloomington Radiology S C is a healthcare organization registered as Diagnostic Radiology Physician in Normal, IL, holding Type 2 (organization) NPI 1700831773 since 2006. The authorized official on file is Ajay Malpani, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700831773 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bloomington Radiology S C |
| Practice address | 2200 FORT JESSE RD, SUITE 280, Normal, IL, 61761 |
| Phone | 3094521788 |
| Fax | 3098621302 |
| Enumeration date | 2006-05-24 |
| Last updated in NPPES | 2021-05-27 |
Authorized official
| Name | Ajay Malpani |
|---|---|
| Title | President |
| Phone | 3094521788 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085B0100X | Body Imaging Physician | Secondary | 042001755 | IL |
| 2085N0700X | Neuroradiology Physician | Secondary | 042001755 | IL |
| 2085N0904X | Nuclear Radiology Physician | Secondary | 042001755 | IL |
| 2085R0204X | Vascular & Interventional Radiology Physician | Secondary | 042001755 | IL |
| 2085R0202X | Diagnostic Radiology Physician | Primary | 042001755 | IL |
Copy-ready billing details
Provider: Bloomington Radiology S C NPI: 1700831773 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 2200 FORT JESSE RD, SUITE 280, Normal, IL, 61761
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164419818 | Lawrence Li | Individual | Orthopaedic Surgery Physician | Normal, IL |
| 1144217472 | Nancy Davis | Individual | Anesthesiology Physician | Normal, IL |
| 1730165747 | Jill Henry | Individual | Certified Registered Nurse Anesthetist | Normal, IL |
| 1730165762 | Catherine Gleason-Dintaman | Individual | Certified Registered Nurse Anesthetist | Normal, IL |
| 1104802966 | Sabita Reddy | Individual | Pain Medicine (Anesthesiology) Physician | Normal, IL |
| 1558348599 | Juanita Smith | Individual | Certified Registered Nurse Anesthetist | Normal, IL |
| 1881672582 | Lisa Russell | Individual | Certified Registered Nurse Anesthetist | Normal, IL |
| 1629043385 | Margaret Starr | Individual | Licensed Practical Nurse | Normal, IL |
Verify this record
Cross-check NPI 1700831773 against the authoritative CMS record: view Bloomington Radiology S C on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Bloomington Radiology S C located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-05-27.