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Organization

INTEGRA IMAGING PARTNERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TINA MARLOW (OFFICE MANAGER)
(812) 275-1390
Entity
Organization

Contact information

Practice address
2900 W. 16TH STREET, BEDFORD, IN 47421-3510
(812) 275-1200
(812) 275-1248
Mailing address
2900 W. 16TH STREET, BEDFORD, IN 47421-3510
(812) 275-1200
(812) 275-1248

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200401170A
IN
Enumeration date
10/18/2006
Last updated
02/17/2015
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