INDIANA BREAST CENTER NPI 1174787204

NPI Information

NPI: 1174787204
Provider Name: INDIANA BREAST CENTER

Doing Business As: LUDAG LLC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
5363 COMMERCE DR
CROWN POINT, IN
ZIP 46307
Phone: (219) 769-5000
Get Directions

INDIANA BREAST CENTER is a diagnostic radiology radiology in Crown Point, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. INDIANA BREAST CENTER NPI is 1174787204. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ludag Llc.

The provider's business location address is:

5363 COMMERCE DR
CROWN POINT, IN
ZIP 46307-325
Phone: (219) 769-5000

The provider's authorized official is Robert T Woodburn .
The authorized official title is President and has the following contact phone number (574) 271-2558.

The enumeration date for this NPI number is 7/17/2008 and was last updated on 7/17/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	197130	MEDICARE PIN	INDIANA
2	200397270	MEDICAID	INDIANA

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: 5/5/2024

NPI Synchronization or Removal

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