PREMIER MEDICAL IMAGING LLC NPI 1386384360

NPI Information

  • NPI: 1386384360
  • Provider Name: PREMIER MEDICAL IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 2855 MILLER DR STE 113B
    PLYMOUTH, IN
    ZIP 46563
  • Phone: (574) 941-1090

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NPI Details

PREMIER MEDICAL IMAGING LLC is a diagnostic radiology radiology in Plymouth, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PREMIER MEDICAL IMAGING LLC NPI is 1386384360. The provider is registered as an organization entity type.

The provider's business location address is:

2855 MILLER DR STE 113B
PLYMOUTH, IN
ZIP 46563-091
Phone: (574) 941-1090
Fax: (574) 941-1095

The provider's authorized official is Gardner Bartrom .
The authorized official title is President and has the following contact phone number (765) 228-4660.

The enumeration date for this NPI number is 3/29/2022 and was last updated on 1/8/2024.

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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QR0200XClinic/CenterRadiologyNo
32085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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