Southern Indiana Radiological Associates Inc

LBN: Southern Indiana Radiological Associates Inc
Southern Indiana Radiological Associates Inc is an health care organization with primary practice located at 429 S Landmark Ave , Bloomington IN 47403-5003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Southern Indiana Radiological Associates Inc can be contacted via phone (812) 332-8242, or through Bisesi, Mark via phone (812) 332-8242.

Contact Information

Primary practice address
429 S Landmark Ave Bloomington IN 47403-5003
Phone: (812) 332-8242
Fax: (812) 333-7684
Website:
Map and Directions
Authorized official contact:
Name: Bisesi, Mark Doctor of Medicine (MD)
Phone: (812) 332-8242

Health care specialties

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

Profile Details

NPI number 1346205911
LBN Legal business name Southern Indiana Radiological Associates Inc
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 1346205911 NPPES
Indiana MEDICAID 200007460

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