Organization
PROGRESSIVE MEDICAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ROCKEY MD (PRESIDENT)
(765) 673-0370
Entity
Organization
Contact information
Practice address
830 N THEATRE RD, MARION, IN 46952-1700
(765) 673-0370
Mailing address
PO BOX 6280, DEPT 100, INDIANAPOLIS, IN 46206-6280
(866) 338-6461
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000192996
BC BS
IN
Enumeration date
07/19/2005
Last updated
07/21/2022
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