Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prowave Diagnostics LLC

Organization Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · NPI 1265786305

Prowave Diagnostics LLC is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Ridgedale, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

238 Peach Ln
Ridgedale, MO 65739-4182
Phone: (831) 477-6633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (primary) Taxonomy 335V00000X (MO)

Record details

NPI number1265786305
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIgh LLC
Authorized official Stephanie Conger — Billing Manager · (615) 419-3375
NPI enumeratedOctober 27, 2012
Last updated in NPPESOctober 27, 2012
Mailing addressPo Box 130, Ridgedale, MO 65739-0130