Organization Active NPI

Northern Indiana Magnetic Resonance Center, LLP

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • South Bend, IN
National Provider Identifier
1447252200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
NORTHERN INDIANA MAGNETIC RESONANCE CENTER, LLP
Practice address
17333 Dugdale Dr
South Bend, IN 46635-1500
Phone
(574) 272-9991
Fax
(574) 271-9998
NPI assigned
Aug 11, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Barbara W. Brown
Title
Center Manager
Phone
(574) 272-9991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

17333 Dugdale Dr
South Bend, IN 46635-1500

Mailing address

17333 Dugdale Dr
South Bend, IN 46635-1500
Phone (574) 272-9991

Other identifiers 1

IdentifierTypeStateIssuer
000000103542OtherINANTHEM

National Provider Directory

National Provider Directory

Locations

6901 N Main St
Ste 101
Granger, IN 46530
Phone (574) 271-1300

250 E Day Rd
Ste 360
Mishawaka, IN 46545
Phone (574) 247-4333

17333 Dugdale Dr
South Bend, IN 46635
Phone (574) 272-9991

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447252200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17333 DUGDALE DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351500",
            "telephone_number": "574-272-9991",
            "fax_number": "574-271-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17333 DUGDALE DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351500",
            "telephone_number": "574-272-9991",
            "fax_number": "574-271-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INDIANA MAGNETIC RESONANCE CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CENTER MANAGER",
        "authorized_official_telephone_number": "574-272-9991",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000103542",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.