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Northeast X-ray
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Fort Wayne, Indiana
NPI 1659578409

Northeast X-ray is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Fort Wayne, IN. Northeast X-ray practices in Fort Wayne, IN. The NPI Number for Northeast X-ray is 1659578409 and holds a License No. XT002431 (Indiana).

The current practice location address for Northeast X-ray is 2928 Parnell Ave, Fort Wayne, IN and can be reached out via phone at 260-484-8414.

Location: 2928 Parnell Ave, Fort Wayne, IN, 46805-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659578409
Provider Name
Northeast X-ray
Credential
Provider Entity Type
Organization
Address
2928 Parnell Ave, Fort Wayne, IN, 46805-2500
Phone Number
260-484-8414
Fax Number
Provider Enumeration Date
06/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2928 Parnell Ave
City
Fort Wayne
State
Indiana
Zip
46805-2500
Phone Number
260-484-8414
Fax Number
person
Provider Business Mailing Address Details
Address
2928 Parnell Ave
City
Fort Wayne
State
Indiana
Zip
46805-2500
Phone Number
260-484-8414
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
XT002431 (Indiana)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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