Breast Diagnostic Screening Center, Llc

LBN: Breast Diagnostic Center, Llc
Breast Diagnostic Screening Center, Llc is an health care organization with primary practice located at 2110 Carew St , Fort Wayne IN 46805. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Breast Diagnostic Center, Llc can be contacted via phone (260) 266-8120, or through Kinzer, Michael A via phone (260) 471-9466.

Contact Information

Primary practice address
2110 Carew St Fort Wayne IN 46805
Phone: (260) 266-8120
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kinzer, Michael A Doctor of Medicine (MD)
Phone: (260) 471-9466

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1790748499
LBN Legal business name Breast Diagnostic Center, Llc
DBA Doing business as Breast Diagnostic Screening Center, Llc
Authorized official Kinzer, Michael A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 10th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790748499 NPPES
Indiana MEDICAID 100080340A

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