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INDIANA MRI OF TERRE HAUTE LLC NPI 1447340351


NPI Information

NPI: 1447340351
Provider Name: INDIANA MRI OF TERRE HAUTE, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
4313 S 7TH ST
TERRE HAUTE, IN
ZIP 47802
Phone: (812) 234-0555
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INDIANA MRI OF TERRE HAUTE, LLC is a radiology clinic center in Terre Haute, IN. INDIANA MRI OF TERRE HAUTE, LLC NPI is 1447340351. The provider is registered as an organization entity type.

The provider's business location address is:

4313 S 7TH ST
TERRE HAUTE, IN
ZIP 47802-365
Phone: (812) 234-0555
Fax: (812) 235-2973

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 4/3/2012.


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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2261QR0200XClinic/CenterRadiologyYes

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
1000000221954OTHERINDIANAANTHEM
2M300066570MEDICARE PININDIANA
3607320MEDICARE PININDIANA
4100473160AMEDICAIDINDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.