XRC CLINICAL RADIOLOGY, LLC (NPI# 1154856789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154856789 |
| Entity Type | Organization |
| Organization Name | XRC CLINICAL RADIOLOGY, LLC |
| Practice Address |
121 S Saint Louis Blvd South Bend IN 46617-2924 |
| Mailing Address |
Po Box 4016 South Bend IN 46634-4016 |
| Practice Telephone | 5742333123 |
| Practice Fax Number | 5742333125 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | DALE T. HUFFMAN (CHIEF FINANCIAL EXECUTIVE) |
| Authorized Official Telephone | 5712333123 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | X-RAY CONSULTANTS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
121 S SAINT LOUIS BLVD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659321545 | Sandra C Roland | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2006-05-11 |
| 1518304898 | Lyndsay Alexandra Oancea | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2013-05-28 |
| 1194040048 | Theresa R. Cruthird | Anesthesiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2010-04-05 |
| 1295991081 | Peter D. Miller | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2008-08-01 |
| 1700048923 | Jonathan Michael Mccrea | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2008-06-29 |
| 1508805466 | Ester Pj Van Der Wal | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2006-06-06 |
| 1447297130 | Victor F Jones II | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2006-06-01 |
| 1184670382 | David A Cory | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2006-05-26 |
| 1164478400 | Brett A Stephens | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2006-05-26 |
| 1376599522 | Linda L Tuthill | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932468352 | Beacon Medical Group, Inc. | Radiology | 621 Memorial Dr Ste 312, South Bend, IN 46601-1073 | 2012-05-04 |
| 1841434354 | Kelly Elizabeth Mortell | Radiology | 621 Memorial Dr, Ste 312, South Bend, IN 46601-1063 | 2009-04-28 |
| 1093893026 | Michael John Hall | Radiology | 621 Memorial Dr, Ste 312, South Bend, IN 46601-1063 | 2006-11-01 |
| 1689669715 | Kevin M Small | Radiology | 621 Memorial Dr Ste 312, South Bend, IN 46601-1073 | 2005-09-14 |
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|---|---|---|---|---|
| 1306317565 | Donita Renee Morris | Radiology | 6910 N Oxford St, Indianapolis, IN 46220-2255 | 2018-12-16 |
| 1174099147 | Omnivas Nwi | Radiology | 8127 Merrillville Rd Ste 1, Merrillville, IN 46410-6306 | 2018-10-17 |
| 1669982492 | Us Access Care of Indianapolis, LLC | Radiology | 201 North Illinois St, 16th Floor - South Tower, Indianapolis, IN 46204-4618 | 2017-10-06 |
| 1487038360 | Beacon Medical Group, Inc. | Radiology | 233 Florence Ave, Granger, IN 46530-8048 | 2015-07-10 |
| 1396075982 | Ir Halum, LLC | Radiology | 5953 Calais Ct, Indianapolis, IN 46220-6004 | 2010-01-05 |
| 1952307480 | Joseph W Eke Jr. | Radiology | 711 S East St, Indianapolis, IN 46225-1317 | 2005-06-21 |
| 1053922849 | Ultrasonic Medical Specialists LLC | Radiology | 365 Conestoga Dr, Chesterton, IN 46304-1559 | 2020-08-13 |
| 1912522368 | Ng Medical Center LLC | Radiology | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2020-06-11 |
| 1487176004 | Modern Vascular and Vein Center LLC | Radiology | 951 Transport Dr, Valparaiso, IN 46383-8434 | 2017-07-14 |
| 1952772782 | Nuvena Vein Center, LLC | Radiology | 3707 New Vision Dr, Fort Wayne, IN 46845-1702 | 2015-10-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on XRC CLINICAL RADIOLOGY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.