institution
Imaging Diagnostic Center Limited
Diagnostic Radiology Physician in Fort Wayne, Indiana
NPI 1871564336

Imaging Diagnostic Center Limited is a Diagnostic Radiology Physician based in Fort Wayne, IN and is specialized in Diagnostic Radiology. Imaging Diagnostic Center Limited practices in Fort Wayne, IN. The NPI Number for Imaging Diagnostic Center Limited is 1871564336 and holds a License No. (Indiana).

The current practice location address for Imaging Diagnostic Center Limited is 7900 W Jefferson Blvd Ste 101, Fort Wayne, IN and can be reached out via phone at 260-432-1568 and via fax at 260-432-4969.

Location: 7900 W Jefferson Blvd Ste 101, Fort Wayne, IN, 46804-3072
institution
Provider Profile Details
NPI Number
1871564336
Provider Name
Imaging Diagnostic Center Limited
Credential
Provider Entity Type
Organization
Address
7900 W Jefferson Blvd Ste 101, Fort Wayne, IN, 46804-3072
Phone Number
260-432-1568
Fax Number
260-432-4969
Provider Enumeration Date
01/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100081420 05 IN
CA8912 01 IN MEDICARE RAILROAD
0753475 05 OH
0787251 05 OH
institution
Provider Business Practice Location Address Details
Address
7900 W Jefferson Blvd Ste 101
City
State
Zip
46804-4128
Phone Number
260-432-1568
Fax Number
260-432-4969
person
Provider Business Mailing Address Details
Address
7900 W Jefferson Blvd Ste 101
City
State
Zip
46804-4128
Phone Number
260-432-1568
Fax Number
260-432-4969
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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