Organization
NORTHWESTERN MEDICAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R. BARNEY (MANAGING MEMBER)
(219) 663-7770
Entity
Organization
Contact information
Practice address
1946 45TH AVE, MUNSTER, IN 46321-3917
(630) 413-4487
Mailing address
1946 45TH AVE, MUNSTER, IN 46321-3917
(630) 413-4487
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248120
MEDICARE LEGACY #
IN
Enumeration date
10/24/2006
Last updated
01/07/2011
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