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Organization
DIRECT IMAGING LLC
Active
Organization
DIRECT IMAGING LLC
Active
Parent organization
DIRECTCARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIRECTCARE LLC
Authorized official
MR. SUDHAKAR KRISHNAN (PRESIDENT & CEO)
(260) 212-1900
Entity
Organization
Contact information
Practice address
1355 GETZ RD., SUITE B, FORT WAYNE, IN 46804-1612
(260) 212-1900
Mailing address
1355 GETZ ROAD, SUITE B, FORT WAYNE, IN 46804-1609
(260) 212-1901
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/30/2022
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