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Memorial Lighthouse Imaging Llc
Diagnostic Ultrasound Physician in South Bend, Indiana
NPI 1730225848

Memorial Lighthouse Imaging Llc is a Diagnostic Ultrasound Physician based in Mishawaka, IN and is specialized in Diagnostic Ultrasound. Memorial Lighthouse Imaging Llc practices in South Bend, IN. The NPI Number for Memorial Lighthouse Imaging Llc is 1730225848 and holds a License No. (Indiana).

The current practice location address for Memorial Lighthouse Imaging Llc is 919 E Jefferson Blvd, South Bend, IN and can be reached out via phone at 574-288-4486 and via fax at 574-258-1101. You can also correspond with Memorial Lighthouse Imaging Llc through the mailing address at 620 W EDISON RD, MISHAWAKA, IN - 46545-2784 (mailing address contact number: 574-258-1100).

Location: 919 E Jefferson Blvd, South Bend, IN, 46545-2784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730225848
Provider Name
Memorial Lighthouse Imaging Llc
Credential
Provider Entity Type
Organization
Address
919 E Jefferson Blvd, South Bend, IN, 46545-2784
Phone Number
574-288-4486
Fax Number
574-258-1101
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
919 E Jefferson Blvd
City
South Bend
State
Indiana
Zip
46617-3112
Phone Number
574-288-4486
Fax Number
574-258-1101
person
Provider Business Mailing Address Details
Address
620 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
()
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
()
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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