Organization
NWI MOBILE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE SUE TEAGUE (OWNER)
(219) 427-1101
Entity
Organization
Contact information
Practice address
5975 MELTON RD, GARY, IN 46403-2920
(219) 427-1101
(219) 939-8743
Mailing address
5925 MELTON RD, GARY, IN 46403-2920
(219) 427-1101
(219) 939-8743
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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