Summit Radiology Pc
LBN: Summit Radiology Pc
Summit Radiology Pc is an health care organization with primary practice located at 7221 Engle Rd Ste 220 , Fort Wayne IN 46804-2233. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Summit Radiology Pc can be contacted via phone (260) 432-1568, or through Branam, Daniel via phone (260) 432-1568.
Contact Information
Primary practice address
7221 Engle Rd Ste 220
Fort Wayne IN 46804-2233
Phone: (260) 432-1568
Fax: (260) 432-4969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ||
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X |
Profile Details
| NPI number | 1073584587 |
|---|---|
| LBN Legal business name | Summit Radiology Pc |
| DBA Doing business as | |
| Authorized official | Branam, Daniel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Mar 3rd, 2022 - about 2 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 | 1073584587 | NPPES |
| Indiana | MEDICAID | 100282650 | |
| Indiana | Other | CC0677 | |
| Indiana | MEDICAID | 0246246 |
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