BEACON HEALTH LLC NPI 1912796699

NPI Information

  • NPI: 1912796699
  • Provider Name: BEACON HEALTH, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 202 LINCOLNWAY E STE 200
    MISHAWAKA, IN
    ZIP 46544
  • Phone: (574) 647-2301

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NPI Details

BEACON HEALTH, LLC 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. BEACON HEALTH, LLC NPI is 1912796699. The provider is registered as an organization entity type.

The provider's business location address is:

202 LINCOLNWAY E STE 200
MISHAWAKA, IN
ZIP 46544-079
Phone: (574) 647-2301
Fax: (574) 647-2302

The provider's authorized official is Jeffrey Costello .
The authorized official title is Cfo and has the following contact phone number (574) 647-3460.

The enumeration date for this NPI number is 5/1/2025 and was last updated on 5/1/2025.

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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2261QR0200XClinic/CenterRadiologyNo
32085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

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