Organization
COMMUNITY IMAGING ASSOCIATES, LLC
Active
Other names
Community Breast Screening-Carmel
Organization subpart
No
Provider details
NPI number
Authorized official
JON FOHRER (PRESIDENT)
(317) 621-7432
Entity
Organization
Contact information
Practice address
11911 N MERIDIAN ST STE 175, CARMEL, IN 46032-6944
(317) 621-6730
(317) 621-6778
Mailing address
7340 SHADELAND STA, SUITE 200, INDIANAPOLIS, IN 46256-3979
(317) 621-6730
(317) 621-6778
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
07/30/2019
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