Organization
NORTHWEST INDIANA PET/CT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIAYONA L TORRES (DIRECTOR)
(219) 395-9272
Entity
Organization
Contact information
Practice address
1505 S CALUMET RD STE 7-8, CHESTERTON, IN 46304-3390
(219) 395-9272
(219) 395-9309
Mailing address
1505 S CALUMET RD STE 7-8, CHESTERTON, IN 46304-3390
(219) 395-9272
(219) 395-9309
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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