Organization
1012 INVESTMENTS, LLC
Active
Other names
Midwest Radiologyoff Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J. GANOTE (OPERATIONS MANAGER)
(317) 557-6165
Entity
Organization
Contact information
Practice address
9120 S COUNTY ROAD 800 W, DALEVILLE, IN 47334-9421
(317) 557-6165
(317) 595-6050
Mailing address
9120 S COUNTY ROAD 800 W, DALEVILLE, IN 47334-9421
(317) 557-6165
(317) 595-6050
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00361771
RAILROAD MEDICARE
IN
Enumeration date
06/10/2006
Last updated
02/19/2008
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