Organization · NPI-2
1012 Investments, LLC
Clinic/Center, Radiology, Mobile · Daleville, IN
NPI number1548201452
StatusActive
Last updated in NPPESFeb 19, 2008
Details
- NPI
- 1548201452
- Entity type
- Organization (NPI-2)
- Legal business name
- 1012 Investments, LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2006
- Last updated
- Feb 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0208X | Clinic/Center, Radiology, Mobile | – | – | Yes |
Other names
- Midwest Radiologyoff Indiana (Doing Business As)
Practice location
9120 S County Road 800 WDaleville, IN 47334-9421
Phone 317-557-6165 · Fax 317-595-6050
Mailing address
9120 S County Road 800 WDaleville, IN 47334-9421
Phone 317-557-6165 · Fax 317-595-6050
Authorized official
Steven J. Ganote
Operations Manager
3175576165
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