ADVANCED IMAGING CENTER, LLC – Radiology Clinic/Center, NPI 1619964467
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ADVANCED IMAGING CENTER, LLC
615, Valley View Drive, Moline, Rock Island County, Illinois, 61265, United States
SUITE 202
MOLINE, IL 612656150
Phone: (309) 762-1072
Fax: (309) 762-1094
Type: Mailing
PO BOX 4688
ROCK ISLAND, IL 612044688
Phone: (309) 762-1072
Type: Mailing
615 VALLEY VIEW DR STE 101
MOLINE, IL 612656150
Phone: (815) 315-1718
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (769 days ago).
Enrollment records
1
Earliest due date
2024-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20060817000201 | O | Independent Diagnostic Testing Facility (Idtf) | IL | 2024-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 37,464 | 353 | $0 |
| 77067 | Screening mammography | 428 | 428 | $0 |
| 77063 | Screening 3d breast mammography | 428 | 428 | $0 |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 259 | 237 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 245 | 224 | $0 |
Insurance plans in this area (ZIP 61265)
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