Southlake Mri & Diagnostic Center Llc in Merrillville - Radiology

Southlake Mri & Diagnostic Center Llc - NPI 1134178148

Southlake Mri & Diagnostic Center Llc is a Radiology in Merrillville, Indiana. Southlake Mri & Diagnostic Center Llc practices all healthcare services and medical treatments related to Radiology. The NPI Number for Southlake Mri & Diagnostic Center Llc is 1134178148. The last update date is 2013-02-06.

Southlake Mri & Diagnostic Center Llc's current location address is 108 E 90th Dr, Merrillville, Indiana. You can contact this provider via phone number 2197951801 and fax number 2197951802. The mailing address for Southlake Mri & Diagnostic Center Llc is 108 E 90th Dr, Merrillville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southlake Mri & Diagnostic Center Llc
Address 108 E 90th Dr, Merrillville, Indiana
Phone Number 2197951801
Fax Number 2197951802
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRINCIPAL
Authorized Official Name Chopra Raman
Telephone Number 2197362700

NPI Number Detail

NPI Number 1134178148
Provider Enumeration Date 2006-05-08
Last Updated Date 2013-02-06

Provider Mailing Address Detail

Address 108 E 90th Dr
City Merrillville
State Indiana (IN)
Post Code 464107160
Phone Number 2197951801
Fax Number 2197951802

Provider's Primary Taxonomy Detail

Speciality Radiology
Taxonomy 261Qr0200X
Licence No XF200740
Definition:
Takes images of the body using radiologic techniques to diagnose disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200500590 IN --

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FAQs about Southlake Mri & Diagnostic Center Llc

What is the unique identifier code issued to Southlake Mri & Diagnostic Center Llc by the Centers for Medicare & Medicaid Services?

The Southlake Mri & Diagnostic Center Llc has been assigned the NPI (National Provider Identifier) 1134178148. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Southlake Mri & Diagnostic Center Llc is physically located?

The Southlake Mri & Diagnostic Center Llc is situated at the following address: 108 E 90Th Dr, Merrillville, IN 464107160.

What is Southlake Mri & Diagnostic Center Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Southlake Mri & Diagnostic Center Llc's area of specialization is Radiology, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0200X.

On what date was the 1134178148 assigned to Southlake Mri & Diagnostic Center Llc?

The Southlake Mri & Diagnostic Center Llc was issued its 1134178148 on 2006-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Southlake Mri & Diagnostic Center Llc's information last updated?

The Southlake Mri & Diagnostic Center Llc's information was last updated on 2013-02-06.

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