MERIDIAN MRI, LLC (NPI# 1619903242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619903242 |
| Entity Type | Organization |
| Organization Name | MERIDIAN MRI, LLC |
| Practice Address |
8805 N Meridian St Indianapolis IN 46260-2332 |
| Practice Telephone | 3177067246 |
| Practice Fax Number | 3177063419 |
| Mailing Telephone | 3177067246 |
| Mailing Fax Number | 3177063419 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2013-10-01 |
| Authorized Official Name | CHRISTINA MANDABACH (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 3177067246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200520060A | 05 |
| Street Address |
8805 N MERIDIAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590529 | Edward J Kowlowitz | Anesthesiology | 8805 N Meridian St, Indianapolis, IN 46260-2332 | 2005-09-29 |
| 1912301938 | Natalie Joan Prater | Nurse Practitioner | 8805 N Meridian St, Indianapolis, IN 46260-2760 | 2014-10-20 |
| 1760724603 | David Michael Gordon | Anesthesiology | 8805 N Meridian St, Indianapolis, IN 46260 | 2013-03-18 |
| 1275874497 | Ted J Westlund | Physician Assistant | 8805 N Meridian St, Indianapolis, IN 46260-2760 | 2013-03-13 |
| 1366760910 | Sandra J. Dolny | Physician Assistant | 8805 N Meridian St, Indianapolis, IN 46260 | 2010-05-06 |
| 1417288283 | Josephson Wallack Munshower Neurology, PC | Specialist | 8805 N Meridian St, Indianapolis, IN 46260-2760 | 2010-01-19 |
| 1780864926 | Shadeland Anesthesia | Clinic/Center | 8805 N Meridian St, Indianapolis, IN 46260-2760 | 2007-11-05 |
| 1346360716 | Shadeland Anesthesia & Pain Associates Inc | Pain Medicine | 8805 N Meridian St, Indianapolis, IN 46260-2332 | 2007-03-30 |
| 1477673838 | Center for Special Surgery LLC | Clinic/Center | 8805 N Meridian St, Indianapolis, IN 46260-2332 | 2007-03-30 |
| 1447356704 | Jocelyn L. Bush | Anesthesiology | 8805 N Meridian St, Indianapolis, IN 46260-2760 | 2006-09-15 |
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|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013452283 | George B. Pratt, Md | Clinic/Center | 9015 Crystal Lake Dr, Indianapolis, IN 46240-6414 | 2016-12-27 |
| 1790760635 | American Health Imaging of Indiana LLC | Clinic/Center | 1935 N Capitol Ave, Indianapolis, IN 46202-6403 | 2005-12-14 |
| 1033194915 | American Health Imaging of Indiana LLC | Clinic/Center | 7330 E 82nd St, Indianapolis, IN 46256-1465 | 2005-12-13 |
| 1225219652 | Med Imaging of Indiana, LLC | Clinic/Center | 2045 Rama Dr, Indianapolis, IN 46219-1710 | 2007-11-14 |
| 1326023219 | American Health Imaging of Indiana LLC | Clinic/Center | 7855 S Emerson Ave, Indianapolis, IN 46237-8668 | 2005-12-13 |
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|---|---|---|---|---|
| 1689286973 | Reid Physician Associates Inc | Clinic/Center | 1154 S State Road 1 Ste 2, Cambridge City, IN 47327-9513 | 2020-08-19 |
| 1710476668 | Reid Physician Associates, Inc. | Clinic/Center | 1350 Chester Blvd Ste E, Richmond, IN 47374-1959 | 2018-05-07 |
| 1548787203 | Deaconess Hospital, Inc. | Clinic/Center | 4949 Healthy Way Ste B, Evansville, IN 47715-1180 | 2017-08-24 |
| 1134564016 | Chn Jmh Ventures LLC | Clinic/Center | 3000 S State Road 135 Ste 120, Greenwood, IN 46143-9829 | 2013-05-06 |
| 1578871257 | Smartview Imaging, LLC | Clinic/Center | 7818 E 96th St, Fishers, IN 46037-9629 | 2010-09-16 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1205919982 | Northwestern Medical Imaging LLC | Clinic/Center | 1946 45th Ave, Munster, IN 46321-3917 | 2006-10-24 |
| 1720178726 | Indiana Mri of Evansville, LLC | Clinic/Center | 729 John St, Evansville, IN 47713-2754 | 2006-10-13 |
| 1750471470 | Indiana Regional P E T and Imaging Center, LLC | Clinic/Center | 7891 Broadway Ste A, Merrillville, IN 46410-5556 | 2006-10-13 |
| 1790875706 | Indiana Mri, LLC | Clinic/Center | 3802 Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2006-10-13 |
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| City | INDIANAPOLIS |
| Zip Code | 46260 |
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| 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.