Organization
NORTHWEST RADIOLOGY NETWORK P C
Active
Organization
NORTHWEST RADIOLOGY NETWORK P C
Active
Other names
Northwest Radiology Network, Northwest Radiologist PC
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY PRINCE (DIRECTOR)
(480) 594-3884
Entity
Organization
Contact information
Practice address
3502 WOODVIEW TRCE, INDIANAPOLIS, IN 46268-3181
(317) 328-3747
(317) 489-5166
Mailing address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 715-9965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
50000088
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100402910
—
IN
Enumeration date
07/21/2005
Last updated
04/13/2026
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