MEMORIAL LIGHTHOUSE IMAGING LLC NPI 1730225848

NPI Information

NPI: 1730225848
Provider Name: MEMORIAL LIGHTHOUSE IMAGING LLC
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
919 E JEFFERSON BLVD
SOUTH BEND, IN
ZIP 46617
Phone: (574) 288-4486
Get Directions

MEMORIAL LIGHTHOUSE IMAGING LLC is a body imaging radiology in South Bend, IN. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. 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 enumeration date for this NPI number is 1/29/2007 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085B0100X	Radiology	Body Imaging	Yes
2	2085N0700X	Radiology	Neuroradiology	X
3	2085P0229X	Radiology	Pediatric Radiology	X
4	2085R0202X	Radiology	Diagnostic Radiology	X
5	2085U0001X	Radiology	Diagnostic Ultrasound	X

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: 11/14/2023

NPI Synchronization or Removal

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