Memorial Lighthouse Imaging Llc in South Bend - Diagnostic Ultrasound

Memorial Lighthouse Imaging Llc - NPI 1730225848

Memorial Lighthouse Imaging Llc is a Diagnostic Ultrasound in South Bend, Indiana. Memorial Lighthouse Imaging Llc practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Memorial Lighthouse Imaging Llc is 1730225848. The last update date is 2020-08-22.

Memorial Lighthouse Imaging Llc's current location address is 919 E Jefferson Blvd, South Bend, Indiana. You can contact this provider via phone number 5742884486 and fax number 5742581101. The mailing address for Memorial Lighthouse Imaging Llc is 919 E Jefferson Blvd, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Memorial Lighthouse Imaging Llc
Address 919 E Jefferson Blvd, South Bend, Indiana
Phone Number 5742884486
Fax Number 5742581101
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Miro A Pedro
Credentials MD
Telephone Number 5742581100

NPI Number Detail

NPI Number 1730225848
Provider Enumeration Date 2007-01-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 919 E Jefferson Blvd
City South Bend
State Indiana (IN)
Post Code 4661731120
Phone Number 5742884486
Fax Number 5742581101

Provider's Primary Taxonomy Detail

Speciality Diagnostic Ultrasound
Taxonomy 2085U0001X
Definition:
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

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FAQs about Memorial Lighthouse Imaging Llc

What is the unique 10-digit identifier code assigned to Memorial Lighthouse Imaging Llc by the Centers for Medicare & Medicaid Services?

The Memorial Lighthouse Imaging Llc has been issued the NPI (National Provider Identifier) 1730225848 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Memorial Lighthouse Imaging Llc's facilities are geographically located?

The facilities of Memorial Lighthouse Imaging Llc are physically situated at the following location: 919 E Jefferson Blvd, South Bend, IN, 4661731120.

What is Memorial Lighthouse Imaging Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Memorial Lighthouse Imaging Llc is Diagnostic Ultrasound, and the taxonomy code that categorizes this field of expertise is 2085U0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1730225848 to Memorial Lighthouse Imaging Llc?

The Centers for Medicare & Medicaid Services assigned the 1730225848 to Memorial Lighthouse Imaging Llc on 2007-01-29.

As of what date were the details related to Memorial Lighthouse Imaging Llc most recently updated or revised?

The information pertaining to Memorial Lighthouse Imaging Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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