Northeast X-Ray

NPI #1659578409 in Fort Wayne, Indiana

Provider Information

NPI Number: 1659578409
Entity Type: Organization
Organization Name: Northeast X-Ray
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Jun 27, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2928 PARNELL AVE
City: Fort Wayne
State: Indiana
ZIP Code: 46805-2500
Phone: (260) 484-8414

Authorized Official

Name: CHRISTOPHER M BROWN
Title: OWNER
Phone: (260) 484-8414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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