Summit Radiology Services LLC

NPI #1124044607 in Lafayette, Indiana

Provider Information

NPI Number
1124044607
Entity Type
Organization
Organization Name
Summit Radiology Services LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Jul 15, 2006
Last Updated
Jan 25, 2013

Practice Location

Address
3738 LANDMARK DR.
Address 2
SUITE D
State
Indiana
ZIP Code
47905-6655
Phone
(765) 449-7984

Authorized Official

Name
GLENN A TUCKMAN, M.D.
Title
PRESIDENT
Phone
(765) 449-7984

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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