Organization · NPI-2

Core Diagnostics LLC

Family Medicine · Hammond, IN

NPI number1831850064
StatusActive
Last updated in NPPESAug 24, 2022

Details

NPI
1831850064
Entity type
Organization (NPI-2)
Legal business name
Core Diagnostics LLC
Organization subpart
No
Enumeration date
Jan 10, 2022
Certification date
Aug 24, 2022
Last updated
Aug 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Core Diagnositcs (Doing Business As)

Practice location

3831 Hohman Ave
Hammond, IN 46327-1160

Phone 219-237-3831

Mailing address

1451 Edgewater Rd
Crown Point, IN 46307-8255

Phone 708-557-9500

Authorized official

Rita Christiano
Ceo
2192373831

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