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Organization
INDIANA MRI OF LAFAYETTE LLC
Active
Organization
INDIANA MRI OF LAFAYETTE LLC
Active
Other names
Open MRI of Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
(502) 403-1401
Entity
Organization
Contact information
Practice address
130 PROFESSIONAL CT, STE C, LAFAYETTE, IN 47905-5153
(765) 449-7984
(765) 449-9791
Mailing address
130 PROFESSIONAL CT, STE C, LAFAYETTE, IN 47905-5153
(765) 449-7984
(765) 449-9791
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/23/2005
Last updated
06/12/2008
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