Sira Imaging Center Llc

LBN: Sira Imaging Center Llc
Sira Imaging Center Llc is an health care organization with primary practice located at 500 S Landmark Ave , Bloomington IN 47403-3239. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Sira Imaging Center Llc can be contacted via phone (812) 332-8242, or through Bisesi, Mark via phone (812) 332-8242.

Contact Information

Primary practice address
500 S Landmark Ave Bloomington IN 47403-3239
Fax: (812) 333-7684
Website:
Authorized official contact:
Name: Bisesi, Mark Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1558326124
LBN Legal business name Sira Imaging Center Llc
DBA Doing business as
Authorized official Bisesi, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Nov 30th, 2010 - about 15 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 1558326124 NPPES
Indiana MEDICAID 200152570

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