NPIMap

Organization Active NPI

MN Imaging LLC

  • Radiology Clinic/Center
  • Dyer, IN
National Provider Identifier
1699328898
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MN IMAGING LLC
Practice address
2109 Northwinds Dr
Dyer, IN 46311-1882
Phone
(219) 836-2096
Fax
(219) 836-2097
NPI assigned
Jul 17, 2019
Last updated
Jul 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Samer Kassar, MDNPI 1902839525
Title
President
Phone
(219) 836-2096

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
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2109 Northwinds Dr
Dyer, IN 46311-1882

Mailing address

2107 Northwinds Dr
Dyer, IN 46311-1882
Phone (219) 836-2096

National Provider Directory

National Provider Directory

Locations

2107 Northwinds Dr
Dyer, IN 46311

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": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1699328898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 NORTHWINDS DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111882",
            "telephone_number": "219-836-2096",
            "fax_number": "219-836-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 NORTHWINDS DR",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111882",
            "telephone_number": "219-836-2096",
            "fax_number": "219-836-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "KASSAR",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-2096",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "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 Jul 22, 2019; 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.