Provider Type Icon

RADIOLOGY INC NPI 1578557815


NPI Information

NPI: 1578557815
Provider Name: RADIOLOGY, INC

Other Name: RADIOLOGY, P.C.

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
620 W EDISON RD
SUITE 110
MISHAWAKA, IN
ZIP 46545
Phone: (574) 258-1100
Get Directions

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingNo
22085N0904XRadiologyNuclear RadiologyNo
32085R0203XRadiologyTherapeutic RadiologyNo
42085N0700XRadiologyNeuroradiologyNo
52085P0229XRadiologyPediatric RadiologyNo
62085R0204XRadiologyVascular & Interventional RadiologyNo
72085U0001XRadiologyDiagnostic UltrasoundNo
82085R0202XRadiologyDiagnostic RadiologyYes

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
1100220290MEDICAIDINDIANA
2728230MEDICARE PININDIANA

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.