1012 Investments, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

1012 INVESTMENTS, LLC

Doing business as

Midwest Radiologyoff Indiana

Practice address

9120 S County Road 800 W
Daleville, IN 47334-9421

Phone

(317) 557-6165

Fax

(317) 595-6050

NPI assigned

Jun 10, 2006

Last updated

Feb 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven J. Ganote

Title

Operations Manager

Phone

(317) 557-6165

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Radiologyoff Indiana Doing business as

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1548201452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 S COUNTY ROAD 800 W",
            "city": "DALEVILLE",
            "state": "IN",
            "postal_code": "473349421",
            "telephone_number": "317-557-6165",
            "fax_number": "317-595-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 S COUNTY ROAD 800 W",
            "city": "DALEVILLE",
            "state": "IN",
            "postal_code": "473349421",
            "telephone_number": "317-557-6165",
            "fax_number": "317-595-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1012 INVESTMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "GANOTE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "317-557-6165"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00361771",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Radiologyoff Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madalyn Adams
• Dalton Albrecht
• American Health Network of Indiana, LLC
• Autofarm Mobility,LLC (McCrocklin Mobility)
• Oliviah Bagienski

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.