Organization
NORTHEAST X-RAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER M BROWN (OWNER)
(260) 484-8414
Entity
Organization
Contact information
Practice address
2928 PARNELL AVE, FORT WAYNE, IN 46805-2500
(260) 484-8414
Mailing address
2928 PARNELL AVE, FORT WAYNE, IN 46805-2500
(260) 484-8414
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
XT002431
IN
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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