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INDIANA REGIONAL P E T AND IMAGING CENTER LLC NPI 1750471470


NPI Information

NPI: 1750471470
Provider Name: INDIANA REGIONAL P E T AND IMAGING CENTER, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
7891 BROADWAY STE A
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 793-9655
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INDIANA REGIONAL P E T AND IMAGING CENTER, LLC is a radiology clinic center in Merrillville, IN. INDIANA REGIONAL P E T AND IMAGING CENTER, LLC NPI is 1750471470. The provider is registered as an organization entity type.

The provider's business location address is:

7891 BROADWAY STE A
MERRILLVILLE, IN
ZIP 46410-556
Phone: (219) 793-9655
Fax: (219) 793-9692

The provider's authorized official is Kiayona L Torres .
The authorized official title is Director and has the following contact phone number (219) 793-9655.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 12/5/2012.


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
1261QR0200XClinic/CenterRadiologyYes

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
1229400MEDICARE ID-TYPE UNSPECIFIEDINDIANA
2P00468366MEDICARE PININDIANA
3200208560AMEDICAIDINDIANA
4318826OTHERANTHEM

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.