institution
Southlake Mri & Diagnostic Center Llc
Radiology Clinic/Center in Merrillville, Indiana
NPI 1134178148

Southlake Mri & Diagnostic Center Llc is a Radiology Clinic/Center based in Merrillville, IN and is specialized in Radiology. Southlake Mri & Diagnostic Center Llc practices in Merrillville, IN. The NPI Number for Southlake Mri & Diagnostic Center Llc is 1134178148 and holds a License No. (Indiana).

The current practice location address for Southlake Mri & Diagnostic Center Llc is 108 E 90Th Dr, Merrillville, IN and can be reached out via phone at 219-795-1801 and via fax at 219-795-1802. You can also correspond with Southlake Mri & Diagnostic Center Llc through the mailing address at 108 E 90TH DR, MERRILLVILLE, IN - 46410-7160 (mailing address contact number: 219-795-1801).

Location: 108 E 90Th Dr, Merrillville, IN, 46410-7160
institution
Provider Profile Details
NPI Number
1134178148
Provider Name
Southlake Mri & Diagnostic Center Llc
Credential
Provider Entity Type
Organization
Address
108 E 90Th Dr, Merrillville, IN, 46410-7160
Phone Number
219-795-1801
Fax Number
219-795-1802
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200500590 05 IN
institution
Provider Business Practice Location Address Details
Address
108 E 90Th Dr
City
State
Zip
46410-7160
Phone Number
219-795-1801
Fax Number
219-795-1802
person
Provider Business Mailing Address Details
Address
108 E 90Th Dr
City
State
Zip
46410-7160
Phone Number
219-795-1801
Fax Number
219-795-1802
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
XF200740 (Indiana)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Magnetic Resonance Imaging (MRI)
Taxonomy
License No.
XM017160 (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
()
Definition
Definition to come...
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