Organization
NUVISTA IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIO A DE LA TORRE (CHAIRMAN OF THE BOARD)
(575) 312-9990
Entity
Organization
Contact information
Practice address
5363 COMMERCE BLVD STE B, CROWN POINT, IN 46307-5325
(219) 306-0257
(630) 780-2535
Mailing address
5363 COMMERCE BLVD STE B, CROWN POINT, IN 46307-5325
(219) 306-0257
(630) 780-2535
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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