| NPI | 1144207101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GUSTAITIS President 219-836-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0205X Radiology, Radiological Physics |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2085B0100X Radiology, Body Imaging | |
| 2085N0700X Radiology, Neuroradiology | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2012-12-12 |