# INDIANA MRI OF EVANSVILLE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720178726
- **Authorized official:** OWEN LAUER (MANAGING MEMBER)
- **Authorized official phone:** (812) 336-0056

## Contact information

- **Practice address:** 729 JOHN ST, EVANSVILLE, IN 47713-2754
- **Practice address phone:** (812) 428-3440
- **Practice address fax:** (812) 463-5238
- **Mailing address:** 3900 S WALNUT ST, BLOOMINGTON, IN 47401-7393
- **Mailing address phone:** (812) 336-0056
- **Mailing address fax:** (812) 336-0059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 12/07/2007