A&E Diagnostic Imaging, LLC
Organization Active NPI Diagnostic Radiology Physician · Crown Point, IN
NPI 1235523762 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1235523762
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 01061082A (IN)
- Legal business name
- A&E DIAGNOSTIC IMAGING, LLC
- Practice address
- 5363 Commerce Blvd
Crown Point, IN 46307-5325 - Phone
- (317) 441-4460
- Fax
- (219) 756-5000
- NPI assigned
- Mar 23, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Emmanuel A Osagiede, MD
- Title
- Director
- Phone
- (317) 441-4460
National Provider Directory
Locations
28263 Network Pl
Chicago, IL 60673
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | 01061082A | IN | Yes |
Addresses
Primary practice location
5363 Commerce Blvd
Crown Point, IN 46307-5325
Mailing address
5363 Commerce Blvd
Crown Point, IN 46307-5325
Phone (317) 441-4460
Other practice location 1
5363 Commerce Blvd
Crown Point, IN 46307-5325
Phone (317) 441-4460
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All providers in Crown Point, IN · Diagnostic Radiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.