Organization
ALLIED IMAGING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERY ROUSSARIE (CEO)
(574) 251-2100
Entity
Organization
Contact information
Practice address
6301 UNIVERSITY COMMONS STE 370, SOUTH BEND, IN 46635-3501
(574) 251-2100
Mailing address
6301 UNIVERSITY COMMONS STE 230, SOUTH BEND, IN 46635-1590
(574) 251-2100
(574) 251-2150
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
02/16/2019
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