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INDIANA MRI LLC NPI 1790875706


NPI Information

NPI: 1790875706
Provider Name: INDIANA MRI, LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
3802 INDUSTRIAL BLVD
SUITE 4
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 331-7727
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INDIANA MRI, LLC is a magnetic resonance imaging (mri) clinic center in Bloomington, IN. INDIANA MRI, LLC NPI is 1790875706. The provider is registered as an organization entity type.

The provider's business location address is:

3802 INDUSTRIAL BLVD
SUITE 4
BLOOMINGTON, IN
ZIP 47403-141
Phone: (812) 331-7727
Fax: (812) 331-8983

The provider's authorized official is Owen Lauer .
The authorized official title is Managing Member and has the following contact phone number (812) 336-0056.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 12/7/2007.


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
1261QR0200XClinic/CenterRadiologyNo
2261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1547310GMEDICARE PININDIANA
2000000221951OTHERINDIANAANTHEM
3547310MEDICARE ID-TYPE UNSPECIFIEDINDIANA
4100185020AMEDICAIDINDIANA

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: 11/14/2023

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