Organization
NORTHERN INDIANA MAGNETIC RESONANCE CENTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA W. BROWN (CENTER MANAGER)
(574) 272-9991
Entity
Organization
Contact information
Practice address
17333 DUGDALE DR, SOUTH BEND, IN 46635-1500
(574) 272-9991
(574) 271-9998
Mailing address
17333 DUGDALE DR, SOUTH BEND, IN 46635-1500
(574) 272-9991
(574) 271-9998
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000103542
ANTHEM
IN
Enumeration date
08/11/2005
Last updated
08/22/2020
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