Organization · Type 2 NPI

Breast Diagnostic Center, LLC

Diagnostic Radiology Physician · Fort Wayne, IN

NPI number 1790748499 Active

Practice location

3707 New Vision Dr
Fort Wayne, IN 46845-1702

Other practice locations

  • 1818 Carew St, Fort Wayne, IN 46805-4788 · (260) 483-1847

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

22 other providers at this address

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About NPI 1790748499

Breast Diagnostic Center, LLC's National Provider Identifier is 1790748499, issued on Apr 11, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 17, 2026.