# CROWN RADIOLOGY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053833194
- **Authorized official:** EMMANUEL AIYEVBEKPEN OSAGIEDE MD (CEO)
- **Authorized official phone:** (219) 756-4600

## Contact information

- **Practice address:** 5371 72ND AVE, SCHERERVILLE, IN 46375-5352
- **Practice address phone:** (219) 756-4600
- **Practice address fax:** (219) 756-5000
- **Mailing address:** 5371 72ND AVE, SCHERERVILLE, IN 46375-5352
- **Mailing address phone:** (219) 756-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2017
- **Last updated:** 07/21/2022