Organization
ALLIED PHYSICIANS INC
Active
Other names
Allied Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R SMITH (CEO)
(260) 399-4704
Entity
Organization
Contact information
Practice address
7956 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 460-3198
Mailing address
7956 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 460-3198
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0515955
—
OH
05
—
100277310
—
IN
01
—
DA0025
RR MEDICARE
IN
Enumeration date
10/31/2005
Last updated
12/26/2012
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