| NPI | 1912796699 |
|---|---|
| Doing Business As | BEACON IMAGING MISHAWAKA |
| Entity Type | Organization |
| Authorized Contact | JEFFREY COSTELLO CFO 574-647-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |