Organization · Type 2 NPI
St. Vincent Medical Group, Inc.
Physiological Laboratory · Crawfordsville, IN
Practice location
1684 Bush Ln, #100
Crawfordsville, IN 47933
Mailing address
10330 N Meridian St
Indianapolis, IN 46290-1024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | None listed |
| Radiology Clinic/Center | 261QR0200X | None listed |
| Physiological Laboratory Primary | 293D00000X | None listed |
Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…
5 other providers at this address
- Amanda N. Koehl, FNPFamily Nurse Practitioner Crawfordsville, IN NPI 1679002737
- Cheryl A. Leech, APRN BCAdult Health Nurse Practitioner Crawfordsville, IN NPI 1053307801
- Paula Naydine Byerly, PT DPT ATC CLT OCSOrthopedic Physical Therapist Crawfordsville, IN NPI 1720538002
- Reeva Del Real, DPTOrthopedic Physical Therapist Crawfordsville, IN NPI 1013467067
- William H. Leech, MDFamily Medicine Physician Crawfordsville, IN NPI 1255327946
About NPI 1962946459
St. Vincent Medical Group, Inc.'s National Provider Identifier is 1962946459, issued on Dec 19, 2016. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Crawfordsville, IN. The record was last updated on Feb 12, 2020.