MEDICARE: DIGITAL DIAGNOSTICS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory

General Provider Information

NPI Number	:	1639727662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGITAL DIAGNOSTICS INC.

Provider Business Mailing Address
First Line	:	210 5TH ST STE 103
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2428
Country	:	US
Telephone Number	:	319-248-5620
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 E HUNTLAND DR STE 400J
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78752-3736
Country	:	US
Telephone Number	:	512-995-7689
Fax Number	:

Authorized Official
Title or Position	:	CHIEF SCIENTIFIC OFFICER
Name	:	MICHAEL ABRAMOFF
Credential	:
Telephone Number	:	319-248-5620

Provider Enumeration Date	:	09/03/2019
Last Update Date	:	02/20/2026

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