| NPI | 1033112990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHODHAN L PATEL Medical Director 219-864-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: IN 1996061345) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2009-02-24 |