Organization
ASCOT DIAGNOSTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRANAVI REDDY (VP OF OPERATIONS)
(847) 830-3010
Entity
Organization
Contact information
Practice address
5490 BROADWAY, MERRILLVILLE, IN 46410-1675
(219) 472-1711
Mailing address
5490 BROADWAY, MERRILLVILLE, IN 46410-1675
(219) 472-1711
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IN
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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