INDIANA MRI OF EVANSVILLE, LLC (NPI# 1720178726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720178726 |
| Entity Type | Organization |
| Organization Name | INDIANA MRI OF EVANSVILLE, LLC |
| Practice Address |
729 John St Evansville IN 47713-2754 |
| Mailing Address |
3900 S Walnut St Bloomington IN 47401-7393 |
| Practice Telephone | 8124283440 |
| Practice Fax Number | 8124635238 |
| Mailing Telephone | 8123360056 |
| Mailing Fax Number | 8123360059 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-12-07 |
| Authorized Official Name | OWEN LAUER (MANAGING MEMBER) |
| Authorized Official Telephone | 8123360056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200077780A | 05 | |
| IN | ANTHEM | 000000221914 | 01 |
| Street Address |
729 JOHN ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
| 1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
| 1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
| 1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
| 1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
| 1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
| Find all providers in zip 47713 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47713 |
Please comment or provide details below to improve the information on INDIANA MRI OF EVANSVILLE, 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.