Organization
ALLIED DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK HIBBOTT (ADMINISTRATOR)
(708) 926-5396
Entity
Organization
Contact information
Practice address
3838 N MAIN ST, MISHAWAKA, IN 46545-3110
(574) 968-4100
(574) 968-4125
Mailing address
3838 N MAIN ST, MISHAWAKA, IN 46545-3110
(574) 968-4100
(574) 968-4125
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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