Organization
ELEVATED DIAGNOSTIC IMAGING AND PAIN MANAGEMENT CENTER LLC
Active
Other names
EDI llc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN LAMONT JOHNSON RT (CEO/OWNER)
(317) 504-1665
Entity
Organization
Contact information
Practice address
1642 OLIVE BRANCH PARK LN, GREENWOOD, IN 46143-6447
(317) 504-1665
Mailing address
5045 BROOKSTONE LN, INDIANAPOLIS, IN 46268-5420
(317) 504-1665
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
261QM1200X
IN
261QM1300X
Multi-Specialty Clinic/Center
261QM1300X
IN
261QP1100X
Podiatric Clinic/Center
261QP1100X
IN
261QP3300X
Pain Clinic/Center
Primary
261QP3300X
IN
261QR0200X
Radiology Clinic/Center
261QR0200X
IN
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us