IMAGI LLC NPI 1457380453

NPI Information

IMAGI, LLC is an endoscopy clinic center in Fort Wayne, IN. IMAGI, LLC NPI is 1457380453. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Indiana Endoscopy Center.

The provider's business location address is:

7900 W JEFFERSON BLVD
SUITE 202
FORT WAYNE, IN
ZIP 46804-128
Phone: (260) 969-7100
Fax: (260) 969-7182

The provider's authorized official is Jerry D Steele .
The authorized official title is Administrator and has the following contact phone number (260) 969-7100.

The CLIA number assigned to this NPI record is 15D2256964 - other - hopd with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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