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Midwest X-ray, Inc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Evansville, Indiana
NPI 1831254424

Midwest X-ray, Inc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Evansville, IN. Midwest X-ray, Inc practices in Evansville, IN. The NPI Number for Midwest X-ray, Inc is 1831254424 and holds a License No. 20453 (Indiana).

The current practice location address for Midwest X-ray, Inc is 1031 Mount Auburn Rd, Evansville, IN and can be reached out via phone at 812-425-4682 and via fax at 812-425-2564.

Location: 1031 Mount Auburn Rd, Evansville, IN, 47720-8226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831254424
Provider Name
Midwest X-ray, Inc
Credential
Provider Entity Type
Organization
Address
1031 Mount Auburn Rd, Evansville, IN, 47720-8226
Phone Number
812-425-4682
Fax Number
812-425-2564
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000226088 01 IN ANTHEM PROVIDER#
0002222230 01 IL BC BS IL PROVIDER#
200311880A 05 IN
institution
Provider Business Practice Location Address Details
Address
1031 Mount Auburn Rd
City
Evansville
State
Indiana
Zip
47720-8226
Phone Number
812-425-4682
Fax Number
812-425-2564
person
Provider Business Mailing Address Details
Address
1031 Mount Auburn Rd
City
Evansville
State
Indiana
Zip
47720-8226
Phone Number
812-425-4682
Fax Number
812-425-2564
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
20453 (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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