HEARTLAND DIAGNOSTIC IMAGING NPI 1568460830

NPI Information

  • NPI: 1568460830
  • Provider Name: HEARTLAND DIAGNOSTIC IMAGING
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 200 HIGH PARK AVE
    GOSHEN, IN
    ZIP 46526
  • Phone: (574) 533-2141

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NPI Details

HEARTLAND DIAGNOSTIC IMAGING is a diagnostic radiology radiology in Goshen, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. HEARTLAND DIAGNOSTIC IMAGING NPI is 1568460830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 HIGH PARK AVE
GOSHEN, IN
ZIP 46526-810
Phone: (574) 533-2141

The provider's authorized official is Eugene Long .
The authorized official title is President and has the following contact phone number (574) 533-2141.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 7/21/2022.

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 RadiologyINDIANAYes

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
1000000315548OTHERINDIANABC BS
2DA4142OTHERINDIANARAILROAD MEDICARE

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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