Active NPI
Indiana MRI of Evansville, LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Evansville, IN
National Provider Identifier
1720178726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- INDIANA MRI OF EVANSVILLE, LLC
- Practice address
- 729 John St
Evansville, IN 47713-2754 - Phone
- (812) 428-3440
- Fax
- (812) 463-5238
- NPI assigned
- Oct 13, 2006
- 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
- Owen Lauer
- Title
- Managing Member
- Phone
- (812) 336-0056
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | Primary | ||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
729 John St
Evansville, IN 47713-2754
Mailing address
3900 S Walnut St
Bloomington, IN 47401-7393
Phone (812) 336-0056
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000221914 | Other | IN | ANTHEM |
| 200077780A | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Henderson, KY
- NPI 1720378789
-
- Diagnostic Radiology Physician
- Paducah, KY
- NPI 1487606984
-
- Diagnostic Radiology Physician
- Newburgh, IN
- NPI 1083600738
-
- Emergency Medicine Physician
- Evansville, IN
- NPI 1588768071
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1952405508
-
- Diagnostic Radiology Physician
- Somerset, KY
- NPI 1457347114
-
- Diagnostic Radiology Physician
- Henderson, KY
- NPI 1356339188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1720178726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 S WALNUT ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474017393",
"telephone_number": "812-336-0056",
"fax_number": "812-336-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 JOHN ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477132754",
"telephone_number": "812-428-3440",
"fax_number": "812-463-5238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA MRI OF EVANSVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "LAUER",
"authorized_official_first_name": "OWEN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "812-336-0056"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000221914",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200077780A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Indiana Exceptional Medical Care
- Indiana Health & Rehabilitation Center
- Indiana Health and Rehabilitation Centers
- Indiana Hearing LLC
- Indiana Hearing LLC
- Indiana Outpatient Services, P.C.
- Indiana Pain Centers-Evansville LLC
- Indiana Spine & Pain Institute PC
- Infectious Diseases and Travel
- Kaycee G Inge, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.