Imaging Diagnostic Center Limited
LBN: Imaging Diagnostic Center Limited
Imaging Diagnostic Center Limited is an health care organization with primary practice located at 7900 W Jefferson Blvd Ste 101 , Fort Wayne IN 46804-4128. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Imaging Diagnostic Center Limited can be contacted via phone (260) 432-1568, or through Schaefer, Mark William via phone (260) 435-7898.
Contact Information
Primary practice address
7900 W Jefferson Blvd Ste 101
Fort Wayne IN 46804-4128
Phone: (260) 432-1568
Fax: (260) 432-4969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1871564336 |
|---|---|
| LBN Legal business name | Imaging Diagnostic Center Limited |
| DBA Doing business as | |
| Authorized official | Schaefer, Mark William |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Jul 1st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871564336 | NPPES |
| Indiana | MEDICAID | 100081420 | |
| Indiana | Other | CA8912 | |
| Indiana | MEDICAID | 0753475 | |
| Indiana | MEDICAID | 0787251 |
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