NORTHGATE MEDICAL IMAGING LLC NPI 1205894235

NPI Information

NPI: 1205894235
Provider Name: NORTHGATE MEDICAL IMAGING LLC

Doing Business As: PRIORITY RADIOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
807 NORTHGATE BLVD
NEW ALBANY, IN
ZIP 47150
Phone: (812) 949-0807
Get Directions

NORTHGATE MEDICAL IMAGING LLC is a diagnostic radiology radiology in New Albany, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTHGATE MEDICAL IMAGING LLC NPI is 1205894235. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Priority Radiology.

The provider's business location address is:

807 NORTHGATE BLVD
NEW ALBANY, IN
ZIP 47150-419
Phone: (812) 949-0807
Fax: (812) 949-0806

The provider's authorized official is Craig S Kamen .
The authorized official title is President and has the following contact phone number (812) 949-0807.

The CLIA number assigned to this NPI record is 15D1095715 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 12/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology		INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	233030	MEDICARE OSCAR/CERTIFICATION	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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