Innervision Advanced Medical Imaging Center, LLC

NPI #1649543141 in Lafayette, Indiana

Provider Information

NPI Number: 1649543141
Entity Type: Organization
Organization Name: Innervision Advanced Medical Imaging Center, LLC
Primary Specialty: Radiology - Body Imaging
Enumeration Date: Feb 14, 2012
Last Updated: Feb 14, 2012

Practice Location

Address: 1411 S CREASY LANE
Address 2: SUITE 130
City: Lafayette
State: Indiana
ZIP Code: 47905-7433
Phone: (765) 447-7447

Authorized Official

Name: MARTHA K MILLER
Title: DIRECTOR OF BILLING
Phone: (765) 446-5417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Radiology - Diagnostic Ultrasound — Diagnostic Ultrasound	2085U0001X
Radiology - Body Imaging — Body Imaging	2085B0100X	Primary

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