Organization · Type 2 NPI
Tri-State Medical Imaging Center, LLC
Diagnostic Radiology Physician · Angola, IN
NPI number
1306898168
Active
Practice location
3250 Intertech Parkway, Suite D
Angola, IN 46703-7223
Mailing address
PO Box 5602
Fort Wayne, IN 46895-5602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1306898168
Tri-State Medical Imaging Center, LLC's National Provider Identifier is 1306898168, issued on May 17, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Angola, IN. The record was last updated on Sep 29, 2010.