Organization
ASSOCIATED RADIOLOGISTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R MARTIN MD (PRESIDENT)
(574) 722-1313
Entity
Organization
Contact information
Practice address
1201 MICHIGAN AVE, #390, LOGANSPORT, IN 46947-1585
(574) 722-1313
(574) 735-3058
Mailing address
1201 MICHIGAN AVE, #390, LOGANSPORT, IN 46947-1585
(574) 722-1313
(574) 735-3058
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070480
—
IN
01
—
CF3161
RAILROAD MEDICARE
IN
Enumeration date
12/29/2006
Last updated
07/31/2015
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