Organization
XRC CLINICAL RADIOLOGY, LLC
Active
Parent organization
X-RAY CONSULTANTS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
X-RAY CONSULTANTS, INC.
Authorized official
DALE T. HUFFMAN PH.D. (CHIEF FINANCIAL EXECUTIVE)
(571) 233-3123
Entity
Organization
Contact information
Practice address
121 S SAINT LOUIS BLVD, SOUTH BEND, IN 46617-2924
(574) 233-3123
(574) 233-3125
Mailing address
PO BOX 4016, SOUTH BEND, IN 46634-4016
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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