INDIANA MRI OF LAFAYETTE LLC


Address: 130 Professional Ct, Ste C, Lafayette, IN 47905-5153
Phone: 7654497984

INDIANA MRI OF LAFAYETTE LLC (NPI# 1669475687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669475687
Entity Type Organization
Organization Name INDIANA MRI OF LAFAYETTE LLC
Other Organization Name OPEN MRI OF LAFAYETTE
Practice Address 130 Professional Ct
Ste C
Lafayette
IN 47905-5153
Practice Telephone 7654497984
Practice Fax Number 7654499791
Mailing Telephone 7654497984
Mailing Fax Number 7654499791
Enumeration Date 2005-05-23
Last Update Date 2008-06-12
Authorized Official Name MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
Authorized Official Telephone 5024031401
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN 200134270 05

Other Provider/Organization Names

Other Name Type Code
Open MRI of Lafayette Doing Business As Name - Organization

Office Location

Street Address 130 PROFESSIONAL CT
STE C
City LAFAYETTE
State IN
Zip Code 47905-5153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912363268 Jolynne Anderson Nurse Practitioner 130 Professional Ct, Suite D, Lafayette, IN 47905-5153 2015-12-31
1093101073 Patricia Wozniak Physician Assistant 130 Professional Ct, Suite D, Lafayette, IN 47905-5153 2015-04-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538719893 Elements Counseling LLC Social Worker 115 N. Farabee Drive, Lafayette, IN 47905 2019-09-18
1134596869 Indiana Dental Sleep Therapy LLC Dentist 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 2015-08-28
1255750899 Emily S Miller Physical Therapist 1701 Creasy Ln, Lafayette, IN 47905 2014-04-10
1073876215 Nathan Webster Dentist 1530 Kossuth St., Lafayette, IN 47905 2012-06-22
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1700177185 Shannon Tawn Harris Speech-Language Pathologist 8900 Cobbler Lane, Lafayette, IN 47905 2011-04-20
1508164484 David Thomas Beine Specialist/Technologist 1321 Unity Pl Ste A, Lafayette, IN 47905 2011-03-02
1447569538 Deidre Dudley Nurse Practitioner 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 2010-10-07
1548493067 Unity Healthcare, LLC Podiatrist 750 Park East Blvd, Unit 4, Lafayette, IN 47905 2009-09-01
1073762969 Lynette Marie Alexander Nurse Practitioner 5500 St Rd. 38 East, Lafayette, IN 47905 2008-09-16
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699737486 Nydic Open Mri of America-lafayette, LLC Clinic/Center 600 Guilbeau Rd, Suite 6, Lafayette, LA 70506-8405 2006-04-05
1427334671 Boulder Mri, LLC Clinic/Center 1000 W South Boulder Rd, Ste: 105, Lafayette, CO 80026-2752 2011-11-01
1386816759 Imaging Services of Louisiana LLC Clinic/Center 5000 Ambassador Caffery Parkway Bldg 10, Lafayette, LA 70508 2008-03-26
1093784761 Advanced Imaging of Lafayette LLC Clinic/Center 935 Camellia Blvd, Suite 101, Lafayette, LA 70508-7084 2006-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992262695 Munster Medical Imaging Inc Clinic/Center 625 Ridge Rd Ste A, Munster, IN 46321-1695 2019-02-28
1285177980 Direct Imaging LLC Clinic/Center 1355 Getz Rd., Suite B, Fort Wayne, IN 46804-1612 2016-11-29
1013361377 Fort Wayne Upright Mri, LLC Clinic/Center 6811 Lima Rd, Fort Wayne, IN 46818-1145 2016-04-22
1396132957 Easy Mri, Inc. Clinic/Center 9921 Coldwater Rd, Fort Wayne, IN 46825-2041 2015-04-22
1972829372 Elevated Diagnostic Imaging and Pain Management Center LLC Clinic/Center 1642 Olive Branch Park Ln, Greenwood, IN 46143-6447 2010-04-12
1023201316 Community Open Mri of Auburn LLC Clinic/Center 2428 Lake Ave, Fort Wayne, IN 46805-5406 2007-08-21
1447340351 Indiana Mri of Terre Haute, LLC Clinic/Center 4313 S 7th St, Terre Haute, IN 47802-4365 2006-10-13
1417971177 Community Open Mri of Auburn, LLC Clinic/Center 411 Smith Dr, Auburn, IN 46706-3655 2006-07-27
1831119213 Binford Imaging & Diagnostic Center LLC Clinic/Center 5500 East 65th St, Ste 100, Indianapolis, IN 46220 2006-07-20
1609811769 Opensided Mri of Louisville, LLC Clinic/Center 120 W Court Ave, Jeffersonville, IN 47130 2006-06-20
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Competitor

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City LAFAYETTE
Zip Code 47905

Improve Information

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Dataset Information

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.

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