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IMAGING DIAGNOSTIC CENTER LIMITED NPI 1871564336


NPI Information

NPI: 1871564336
Provider Name: IMAGING DIAGNOSTIC CENTER LIMITED
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
7900 W JEFFERSON BLVD STE 101
FORT WAYNE, IN
ZIP 46804
Phone: (260) 432-1568
Get Directions

IMAGING DIAGNOSTIC CENTER LIMITED is a diagnostic radiology radiology in Fort Wayne, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. IMAGING DIAGNOSTIC CENTER LIMITED NPI is 1871564336. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7900 W JEFFERSON BLVD STE 101
FORT WAYNE, IN
ZIP 46804-128
Phone: (260) 432-1568
Fax: (260) 432-4969

The provider's authorized official is Mark William Schaefer .
The authorized official title is Executive Director and has the following contact phone number (260) 435-7898.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 7/1/2008.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
10753475MEDICAIDOHIO
2CA8912MEDICARE PININDIANA
3100081420MEDICAIDINDIANA
4136270MEDICARE PININDIANA
50787251MEDICAIDOHIO
6CA8912OTHERINDIANAMEDICARE RAILROAD

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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