Provider Type Icon

ANCILLARY MEDICAL CONSULTANTS LLC NPI 1821094178


NPI Information

NPI: 1821094178
Provider Name: ANCILLARY MEDICAL CONSULTANTS, LLC
Classification: Radiologic Technologist - 2471C3401X
Entity Type: Organization

Specialization: Computed Tomography

Address:
303 S NAPPANEE ST
ELKHART, IN
ZIP 46514
Phone: (574) 296-3200
Get Directions

ANCILLARY MEDICAL CONSULTANTS, LLC is a computed tomography radiologic technologist in Elkhart, IN. The provider is a radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care. ANCILLARY MEDICAL CONSULTANTS, LLC NPI is 1821094178. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

303 S NAPPANEE ST
ELKHART, IN
ZIP 46514-066
Phone: (574) 296-3200
Fax: (574) 296-3936

The provider's authorized official is Gary Rob Kirk .
The authorized official title is Member and has the following contact phone number (330) 491-1490.

The enumeration date for this NPI number is 6/22/2005 and was last updated on 4/20/2008.


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 License Number License State Primary
12471C3401XRadiologic TechnologistComputed TomographyYes

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
1217550MEDICARE ID-TYPE UNSPECIFIEDINDIANA
2=========001MEDICAIDILLINOIS
3209823MEDICARE PINILLINOIS

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: 5/5/2024

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.