Premier Diagnostic Imaging Llc

LBN: Premier Diagnostic Imaging Llc
Premier Diagnostic Imaging Llc is an health care organization with primary practice located at 135 E Mccallister Dr , Terre Haute IN 47802-4247. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Premier Diagnostic Imaging Llc can be contacted via phone (812) 478-3900, or through Konijeti, Jayaprakasarao via phone (812) 478-3900.

Contact Information

Primary practice address
135 E Mccallister Dr Terre Haute IN 47802-4247
Phone: (812) 478-3900
Fax: (812) 478-5868
Website:
Map and Directions
Authorized official contact:
Name: Konijeti, Jayaprakasarao Doctor of Medicine (MD)
Phone: (812) 478-3900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X XF201098 Indiana

Profile Details

NPI number 1023049806
LBN Legal business name Premier Diagnostic Imaging Llc
DBA Doing business as
Authorized official Konijeti, Jayaprakasarao Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Nov 2nd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023049806 NPPES
Indiana MEDICAID 200514950

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