Organization · Type 2 NPI

Beacon Health, LLC

Diagnostic Radiology Physician · Mishawaka, IN

NPI number 1912796699 Active

Practice location

202 Lincolnway E Ste 200
Mishawaka, IN 46544-2079

Fax (574) 647-2302

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200XNone listed
Radiology Clinic/Center 261QR0200XNone 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 1912796699

Beacon Health, LLC's National Provider Identifier is 1912796699, issued on May 1, 2025. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mishawaka, IN. The record was last updated on May 1, 2025.