Organization Active NPI

Nuvista Imaging LLC

  • Diagnostic Radiology Physician
  • Crown Point, IN
National Provider Identifier
1679415442
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NUVISTA IMAGING LLC
Practice address
5363 Commerce Blvd Ste B
Crown Point, IN 46307-5325
Phone
(219) 306-0257
Fax
(630) 780-2535
NPI assigned
Apr 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Mr. Sergio A De la Torre
Title
Chairman of the Board
Phone
(575) 312-9990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X

Addresses

Primary practice location

5363 Commerce Blvd Ste B
Crown Point, IN 46307-5325

Mailing address

5363 Commerce Blvd Ste B
Crown Point, IN 46307-5325
Phone (219) 306-0257

National Provider Directory

National Provider Directory

Locations

5363 Commerce Blvd
Ste B
Crown Point, IN 46307
Phone (219) 306-0257

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1679415442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5363 COMMERCE BLVD STE B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075325",
            "telephone_number": "219-306-0257",
            "fax_number": "630-780-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 COMMERCE BLVD STE B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075325",
            "telephone_number": "219-306-0257",
            "fax_number": "630-780-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUVISTA IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "575-312-9990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.