Mn Imaging Center
Clinic/Center, Radiology in Dyer, IN. Organization (NPI-2).
NPI number1982257226
StatusActive
Last updated in NPPESJul 16, 2019
Details
- NPI
- 1982257226
- Entity type
- Organization (NPI-2)
- Legal business name
- Mn Imaging Center
- Organization subpart
- No
- Enumeration date
- Jul 16, 2019
- Last updated
- Jul 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0200X | Clinic/Center, Radiology | – | – | Yes |
Practice location
1100 Joliet St Ste 201Dyer, IN 46311-1995
Phone 219-836-2096 · Fax 219-836-2097
Mailing address
Po Box 423Dyer, IN 46311-0423
Phone 219-836-2096 · Fax 219-836-2097
Authorized official
Samer Kassar
President
2198362096
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