Organization · Type 2 NPI
Imaging Diagnostic Center Limited
Diagnostic Radiology Physician · Fort Wayne, IN
NPI number
1871564336
Active
Practice location
7900 W Jefferson Blvd Ste 101
Fort Wayne, IN 46804-4128
Fax (260) 432-4969
Mailing address
6119 W Jefferson Blvd, Imaging Diagnostic Center
Fort Wayne, IN 46804-3072
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.
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About NPI 1871564336
Imaging Diagnostic Center Limited's National Provider Identifier is 1871564336, issued on Jan 31, 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 Jul 1, 2008.