Dexa Diagnostics

LBN: Fort Wayne Radiology Associates Llc
Dexa Diagnostics is an health care organization with primary practice located at 3707 New Vision Dr , Fort Wayne IN 46845. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Fort Wayne Radiology Associates Llc can be contacted via phone (260) 471-9466, or through Kinzer, Michael A via phone (260) 471-9466.

Contact Information

Primary practice address
3707 New Vision Dr Fort Wayne IN 46845
Phone: (260) 471-9466
Fax: (260) 484-5919
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 1063475861
LBN Legal business name Fort Wayne Radiology Associates Llc
DBA Doing business as Dexa Diagnostics
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 1063475861 NPPES
Indiana MEDICAID 200176030A

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