MEMORIAL LIGHTHOUSE IMAGING LLC is a diagnostic ultrasound radiology in South Bend, IN. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. MEMORIAL LIGHTHOUSE IMAGING LLC NPI is 1730225848. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
919 E JEFFERSON BLVD SOUTH BEND, IN ZIP 46617-112 Phone: (574) 288-4486 Fax: (574) 258-1101
The provider's authorized official is Pedro A Miro . The authorized official title is Manager and has the following contact phone number (574) 258-1100.
The CLIA number assigned to this NPI record is 15D2046888 - hospital with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/29/2007 and was last updated on 9/11/2025.
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:
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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