Active NPI
Meridian North Imaging Center LLC
- Diagnostic Radiology Physician
- Carmel, IN
National Provider Identifier
1013941426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MERIDIAN NORTH IMAGING CENTER LLC
- Practice address
- 12188 N Meridian St # 101
Carmel, IN 46032-4406 - Phone
- (317) 715-9990
- Fax
- (317) 328-4778
- NPI assigned
- Jul 10, 2006
- Last updated
- Jun 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda A Wilgus
- Title
- Executive Director
- Phone
- (317) 328-5050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
12188 N Meridian St # 101
Carmel, IN 46032-4406
Mailing address
5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone (317) 328-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200852520A | Medicaid | IN |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba JWM Neurology PC
- Neurology Physician
- Indianapolis, IN
- NPI 1740377803
Member Of
Locations
1803 Momentum Pl
Chicago, IL 60689
12188 N Meridian St
#101
Carmel, IN 46032
Phone (317) 715-9990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245283200000",
"number": "1013941426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 TECHNOLOGY CENTER DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462786013",
"telephone_number": "317-328-5050",
"fax_number": "317-715-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12188 N MERIDIAN ST # 101",
"city": "CARMEL",
"state": "IN",
"postal_code": "460324406",
"telephone_number": "317-715-9990",
"fax_number": "317-328-4778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN NORTH IMAGING CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2009-06-18",
"status": "A",
"authorized_official_last_name": "WILGUS",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "317-328-5050"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200852520A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.