# TRI-STATE RADIATION ONCOLOGY CENTERS LLC

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

## Provider details

- **NPI number:** 1225274244
- **Authorized official:** JOE CHANG (CHAIRPERSON)
- **Authorized official phone:** (310) 335-4000

## Contact information

- **Practice address:** 700 N BURKHARDT RD, EVANSVILLE, IN 47715-2740
- **Practice address phone:** (812) 474-1110
- **Practice address fax:** (812) 474-1303
- **Mailing address:** PO BOX 2084, INDIANAPOLIS, IN 46206-2084
- **Mailing address phone:** (800) 331-9294
- **Mailing address fax:** (812) 471-9282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2008
- **Last updated:** 10/01/2009