NPIMap

Organization Active NPI

Northwest Indiana 3-D Imaging LLC

  • Radiologic Technologist
  • Dyer, IN
National Provider Identifier
1629246541
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
NORTHWEST INDIANA 3-D IMAGING LLC
Practice address
890 Richard Rd
Ste a
Dyer, IN 46311-1779
Phone
(219) 322-3206
NPI assigned
Feb 13, 2008
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Irfan A Atcha, D.D.SNPI 1619050507
Title
Director
Phone
(219) 322-3206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X Primary

Addresses

Primary practice location

890 Richard Rd
Ste a
Dyer, IN 46311-1779

Mailing address

890 Richard Rd
Ste a
Dyer, IN 46311-1779
Phone (219) 322-3206

National Provider Directory

National Provider Directory

Locations

890 Richard Rd
Ste A
Dyer, IN 46311
Phone (219) 322-3206

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1629246541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 RICHARD RD",
            "address_2": "STE A",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111779",
            "telephone_number": "219-322-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 RICHARD RD",
            "address_2": "STE A",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111779",
            "telephone_number": "219-322-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INDIANA 3-D IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "ATCHA",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "219-322-3206",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.