RADIOLOGY INC NPI 1578557815

NPI Information

NPI: 1578557815
Provider Name: RADIOLOGY, INC
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Other Name: RADIOLOGY, P.C.
Address: 620 W EDISON RD
SUITE 110
MISHAWAKA, IN
ZIP 46545
Phone: (574) 258-1100

Map and Directions

Get Directions

NPI Details

RADIOLOGY, INC is a diagnostic radiology radiology in Mishawaka, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY, INC NPI is 1578557815. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Radiology, P.c..

The provider's business location address is:

620 W EDISON RD
SUITE 110
MISHAWAKA, IN
ZIP 46545-784
Phone: (574) 258-1100
Fax: (574) 258-1101

The provider's authorized official is Joleen M Holobyn .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (574) 258-1100.

The enumeration date for this NPI number is 9/1/2005 and was last updated on 7/19/2011.

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	Primary
1	2085B0100X	Radiology	Body Imaging	No
2	2085N0904X	Radiology	Nuclear Radiology	No
3	2085R0203X	Radiology	Therapeutic Radiology	No
4	2085N0700X	Radiology	Neuroradiology	No
5	2085P0229X	Radiology	Pediatric Radiology	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	No
8	2085R0202X	Radiology	Diagnostic Radiology	Yes

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
1	100220290	MEDICAID	INDIANA
2	728230	MEDICARE PIN	INDIANA

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

NPI Synchronization or Removal

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.

Previous NPI

Next NPI