THREE RIVERS RADIOLOGY LLC NPI 1306286513

NPI Information

NPI: 1306286513
Provider Name: THREE RIVERS RADIOLOGY, LLC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
6819 LIMA RD
SUITE 200
FORT WAYNE, IN
ZIP 46818
Phone: (260) 407-6200
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THREE RIVERS RADIOLOGY, LLC is a vascular and interventional radiology radiology in Fort Wayne, IN. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. THREE RIVERS RADIOLOGY, LLC NPI is 1306286513. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6819 LIMA RD
SUITE 200
FORT WAYNE, IN
ZIP 46818-145
Phone: (260) 407-6200

The provider's authorized official is Carey Gross .
The authorized official title is President & Treasurer and has the following contact phone number (260) 467-9716.

The enumeration date for this NPI number is 7/2/2013 and was last updated on 7/2/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		99057753A	INDIANA	No
2	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	99057753A	INDIANA	No
3	2085B0100X	Radiology	Body Imaging	99057753A	INDIANA	No
4	2085D0003X	Radiology	Diagnostic Neuroimaging	99057753A	INDIANA	No
5	2085N0700X	Radiology	Neuroradiology	99057753A	INDIANA	No
6	2085R0202X	Radiology	Diagnostic Radiology	99057753A	INDIANA	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	99057753A	INDIANA	No
8	208VP0014X	Pain Medicine	Interventional Pain Medicine	99057753A	INDIANA	No
9	2085R0204X	Radiology	Vascular & Interventional Radiology	99057753A	INDIANA	Yes

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

NPI Synchronization or Removal

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