St. Vincent Medical Group, Inc.

Organization Active NPI Physiological Laboratory · Crawfordsville, IN

NPI 1962946459 · NPPES record last updated Feb 12, 2020

Key facts

NPI
1962946459
Entity type
Organization (NPI type 2)
Primary specialty
Physiological Laboratory 293D00000X
Legal business name
ST. VINCENT MEDICAL GROUP, INC.
Practice address
1684 Bush LN
#100
Crawfordsville, IN 47933
Phone
(765) 365-9500
NPI assigned
Dec 19, 2016
Organization subpart
No

Authorized official

Name
Brian Morris
Title
Cfo
Phone
(317) 338-6234

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Radiology Clinic/Center 261QR0200X
Physiological Laboratory 293D00000X Yes

Addresses

Primary practice location

1684 Bush LN
#100
Crawfordsville, IN 47933

Mailing address

10330 N Meridian St
Indianapolis, IN 46290-1024

Other names

  • Ascension Medical Group St. Vincent Doing business as

Other providers in Crawfordsville, IN

All providers in Crawfordsville, IN · Physiological Laboratory in Indiana

Sources for this page

Verify at the official NPI Registry.