Indiana Mri, Llc
LBN: Indiana Mri, Llc
Indiana Mri, Llc is an health care organization with primary practice located at 3802 Industrial Blvd Suite 4, Bloomington IN 47403-5141. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) is the primary health care specialty.
Indiana Mri, Llc can be contacted via phone (812) 331-7727, or through Lauer, Owen via phone (812) 336-0056.
Contact Information
Primary practice address
3802 Industrial Blvd Suite 4
Bloomington IN 47403-5141
Phone: (812) 331-7727
Fax: (812) 331-8983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1790875706 |
|---|---|
| LBN Legal business name | Indiana Mri, Llc |
| DBA Doing business as | |
| Authorized official | Lauer, Owen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Dec 7th, 2007 - about 17 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 | 1790875706 | NPPES |
| Indiana | MEDICAID | 100185020A | |
| Indiana | Other | 000000221951 |
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