Organization
LIFETIME IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LOONEY (OWNER)
(317) 426-0678
Entity
Organization
Contact information
Practice address
5144 E STOP 11 ROAD, SUITE 18, INDIANAPOLIS, IN 46237-8606
(317) 426-0678
Mailing address
5144 E STOP 11 ROAD, SUITE 18, INDIANAPOLIS, IN 46237-8606
(317) 426-0678
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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