Med Imaging of Indiana, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MED IMAGING OF INDIANA, LLC

Practice address

2045 Rama Dr
Indianapolis, IN 46219-1710

Phone

(317) 871-2790

Fax

(317) 871-2792

NPI assigned

Nov 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brad Smith

Title

President

Phone

(501) 786-0522

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1225219652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6948 ALCOA RD",
            "address_2": "SUITE K",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720159726",
            "telephone_number": "501-778-9729",
            "fax_number": "501-776-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 RAMA DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191710",
            "telephone_number": "317-871-2790",
            "fax_number": "317-871-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED IMAGING OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-786-0522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200908550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Radiology Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.