MN Imaging LLC

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

Organization subpart

No

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

Authorized official

Name

Samer Kassar, MD

Title

President

Phone

(219) 836-2096

Specialties & licenses 1

Addresses

Locations

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": []
}

• Katrina A Miller, LCSW
• Mindful Connections, LLP
• Michael John Mintz, DDS
• Valerie Mitchell
• MN Imaging Center
• Mobile Therapy Partners, LLC
• Humaira Mohiuddin, RD
• Mohammed Ahmed Mohsin, DO
• Robert H Moll, DDS
• Amy Elizabeth Monesmith, BCBA

• All providers in Dyer, IN
• Radiology Clinic/Center in Indiana

• 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.