Breast Diagnostic Center, Llc in Fort Wayne - Diagnostic Radiology
Breast Diagnostic Center, Llc - NPI 1790748499
Breast Diagnostic Center, Llc is a Diagnostic Radiology in Fort Wayne, Indiana. Breast Diagnostic Center, Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Breast Diagnostic Center, Llc is 1790748499. The last update date is 2018-07-10.
Breast Diagnostic Center, Llc's current location address is 3707 New Vision Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604719466 and fax number 2604845919. The mailing address for Breast Diagnostic Center, Llc is 3707 New Vision Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Breast Diagnostic Center, Llc |
|---|---|
| Address | 3707 New Vision Dr, Fort Wayne, Indiana |
| Phone Number | 2604719466 |
| Fax Number | 2604845919 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kinzer A Michael |
| Credentials | M.D. |
| Telephone Number | 2604719466 |
NPI Number Detail
| NPI Number | 1790748499 |
|---|---|
| Provider Enumeration Date | 2006-04-11 |
| Last Updated Date | 2018-07-10 |
Provider Mailing Address Detail
| Address | 3707 New Vision Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451702 |
| Phone Number | 2604719466 |
| Fax Number | 2604845919 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100080340A | IN | -- |
Post Comment/ Review Below
What is the Breast Diagnostic Center, Llc's unique identification number?
The Breast Diagnostic Center, Llc has been assigned the NPI (National Provider Identifier) Number 1790748499 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Breast Diagnostic Center, Llc's facilities are geographically located?
The facilities of Breast Diagnostic Center, Llc are physically situated at the following location: 3707 New Vision Dr, Fort Wayne, IN, 468451702.
What is Breast Diagnostic Center, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Breast Diagnostic Center, Llc is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790748499 to Breast Diagnostic Center, Llc?
The Breast Diagnostic Center, Llc received its 1790748499 assignment from the Centers for Medicare & Medicaid Services on 2006-04-11.
When was the information pertaining to Breast Diagnostic Center, Llc most recently updated or revised?
The details related to Breast Diagnostic Center, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2018-07-10.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY