Organization · Type 2 NPI
Innervision Advanced Medical Imaging Center, LLC
Body Imaging Physician · Lafayette, IN
NPI number
1649543141
Active
Practice location
1411 S Creasy Lane, Suite 130
Lafayette, IN 47905-7433
Fax (765) 446-5317
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | None listed |
| Diagnostic Radiology Physician | 2085R0202X | None listed |
| Diagnostic Ultrasound Physician | 2085U0001X | None listed |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
2 other providers at this address
About NPI 1649543141
Innervision Advanced Medical Imaging Center, LLC's National Provider Identifier is 1649543141, issued on Feb 14, 2012. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Lafayette, IN. The record was last updated on Feb 14, 2012.