Northeast Indiana Endoscopy Center

LBN: Imagi, Llc
Northeast Indiana Endoscopy Center is an health care organization with primary practice located at 7900 W Jefferson Blvd Suite 202, Fort Wayne IN 46804-4128. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Imagi, Llc can be contacted via phone (260) 969-7100, or through Steele, Jerry D via phone (260) 969-7100.

Contact Information

Primary practice address
7900 W Jefferson Blvd Suite 202 Fort Wayne IN 46804-4128
Phone: (260) 969-7100
Fax: (260) 969-7182
Website:
Map and Directions
Authorized official contact:
Name: Steele, Jerry D CHBC
Phone: (260) 969-7100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X Indiana

Profile Details

NPI number 1457380453
LBN Legal business name Imagi, Llc
DBA Doing business as Northeast Indiana Endoscopy Center
Authorized official Steele, Jerry D CHBC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1457380453 NPPES
Indiana Other 000000210095 ANTHEM IDENTIFICATION NUM

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