Indiana Mri of Lafayette LLC

NPI #1669475687 in Lafayette, Indiana

Provider Information

NPI Number
1669475687
Entity Type
Organization
Organization Name
Indiana Mri of Lafayette LLC
Primary Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date
May 23, 2005
Last Updated
Jun 12, 2008

Practice Location

Address
130 PROFESSIONAL CT
Address 2
STE C
State
Indiana
ZIP Code
47905-5153
Phone
(765) 449-7984

Authorized Official

Name
MRS. MICHELLE DOUGLAS
Title
CREDENTIALING MANAGER
Phone
(502) 403-1401

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)Magnetic Resonance Imaging (MRI)

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