Active NPI
Nuvista Imaging LLC
- Diagnostic Radiology Physician
- Crown Point, IN
National Provider Identifier
1679415442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 DirectoryLocations
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.