Southlake Mri & Diagnostic Center Llc
LBN: Southlake Mri & Diagnostic Center Llc
Southlake Mri & Diagnostic Center Llc is an health care organization with primary practice located at 108 E 90Th Dr , Merrillville IN 46410-7160. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty.
Southlake Mri & Diagnostic Center Llc can be contacted via phone (219) 795-1801, or through Chopra, Raman via phone (219) 736-2700.
Contact Information
Primary practice address
108 E 90Th Dr
Merrillville IN 46410-7160
Phone: (219) 795-1801
Fax: (219) 795-1802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ||
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | XM017160 | Indiana |
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | XF200740 | Indiana |
Profile Details
| NPI number | 1134178148 |
|---|---|
| LBN Legal business name | Southlake Mri & Diagnostic Center Llc |
| DBA Doing business as | |
| Authorized official | Chopra, Raman |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Feb 6th, 2013 - about 12 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 | 1134178148 | NPPES |
| Indiana | MEDICAID | 200500590 |
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