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COMMUNITY IMAGING ASSOCIATES LLC NPI 1235507773


NPI Information

NPI: 1235507773
Provider Name: COMMUNITY IMAGING ASSOCIATES, LLC

Doing Business As: COMMUNITY BREAST SCREENING/XRAY-WASHINGTON SQUARE

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization

CLIA Number: 15D1008808

Address:
10122 E 10TH ST STE 101
INDIANAPOLIS, IN
ZIP 46229
Phone: (317) 355-4990
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COMMUNITY IMAGING ASSOCIATES, LLC is a physiological laboratory in Indianapolis, IN. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. COMMUNITY IMAGING ASSOCIATES, LLC NPI is 1235507773. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Breast Screening/xray-washington Square.

The provider's business location address is:

10122 E 10TH ST STE 101
INDIANAPOLIS, IN
ZIP 46229-046
Phone: (317) 355-4990
Fax: (317) 355-1712

The provider's authorized official is Jon Fohrer .
The authorized official title is President and has the following contact phone number (317) 621-9366.

The CLIA number assigned to this NPI record is 15D1008808 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 7/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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