Space Coast Radiology Associates in Indianapolis - Diagnostic Radiology
Space Coast Radiology Associates - NPI 1396794566
Space Coast Radiology Associates is a Diagnostic Radiology in Indianapolis, Indiana. Space Coast Radiology Associates practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Space Coast Radiology Associates is 1396794566. The last update date is 2022-07-21.
Space Coast Radiology Associates's current location address is Po Box 3148, Indianapolis, Indiana. You can contact this provider via phone number 8552068407. The mailing address for Space Coast Radiology Associates is Po Box 3148, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Space Coast Radiology Associates |
|---|---|
| Address | Po Box 3148, Indianapolis, Indiana |
| Phone Number | 8552068407 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Flynn Joseph |
| Credentials | D. O. |
| Telephone Number | 3212686192 |
NPI Number Detail
| NPI Number | 1396794566 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | Po Box 3148 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462063148 |
| Phone Number | 8552068407 |
| Fax Number |
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 |
|---|---|---|---|
| 250 | FL | BCBS PROVIDER NUMBER | |
| 56061802 | FL | -- | |
| CK0840 | FL | RR MEDICARE | |
| 56061803 | FL | -- | |
| 56061800 | FL | -- | |
| 56061801 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Space Coast Radiology Associates?
The Space Coast Radiology Associates has been issued the NPI (National Provider Identifier) 1396794566 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Space Coast Radiology Associates is located?
The Space Coast Radiology Associates is situated at the following address: Po Box 3148, Indianapolis, IN, 462063148.
What is the Space Coast Radiology Associates's specialty and taxonomy code?
The Space Coast Radiology Associates's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396794566 to Space Coast Radiology Associates?
The Space Coast Radiology Associates received its 1396794566 assignment from the Centers for Medicare & Medicaid Services on 2006-05-08.
When was the Space Coast Radiology Associates's information last updated?
The Space Coast Radiology Associates's information was last updated on 2022-07-21.