Organization
MEDICAL IMAGING CENTER , LLC IU RADIOLOGY @ NIFS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN M PEA (ADMINISTRATOR)
(317) 274-3960
Entity
Organization
Contact information
Practice address
250 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5137
(317) 472-4560
(317) 287-8906
Mailing address
550 N MERIDIAN ST, STE. 114, INDIANAPOLIS, IN 46204-1208
(317) 274-3960
(317) 274-5168
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
10/03/2007
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