Organization
BEACON HEALTH, LLC
Active
Organization
BEACON HEALTH, LLC
Active
Other names
Beacon Imaging Mishawaka
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY COSTELLO (CFO)
(574) 647-3460
Entity
Organization
Contact information
Practice address
202 LINCOLNWAY E STE 200, MISHAWAKA, IN 46544-2079
(574) 647-2301
(574) 647-2302
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1070
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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