IRVING RADIOLOGY INC NPI 1184305526

NPI Information

  • NPI: 1184305526
  • Provider Name: IRVING RADIOLOGY, INC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 4011 S MONROE MEDICAL PARK BLVD
    BLOOMINGTON, IN
    ZIP 47403
  • Phone: (239) 309-0602

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NPI Details

IRVING RADIOLOGY, INC is a diagnostic radiology radiology in Bloomington, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. IRVING RADIOLOGY, INC NPI is 1184305526. The provider is registered as an organization entity type.

The provider's business location address is:

4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN
ZIP 47403
Phone: (239) 309-0602

The provider's authorized official is Winston Dacosta Irving .
The authorized official title is Owner and has the following contact phone number (314) 935-0770.

The enumeration date for this NPI number is 7/28/2023 and was last updated on 7/18/2025.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
199119700AMEDICAIDINDIANA

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: 11/21/2025

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