Premier Diagnostic Imaging Llc

NPI 1023049806 - Radiology - 2085R0202X

NPI Details
NPI 1023049806
Enumeration Date 07/06/2006
Last Updated 11/02/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JAYAPRAKASARAO JAYAPRAKASARAO
Position MEDICAL DIRECTOR
Phone (812) 478-3900
Fax (812) 478-5868
Practice Location
135 E MCCALLISTER DR
TERRE HAUTE IN, 47802-4247, US
Phone (812) 478-3900
Fax (812) 478-5868
Business Location
135 E MCCALLISTER DR
TERRE HAUTE IN, 47802-4247, US
Phone (812) 478-3900
Fax (812) 478-5868
Toxanomy
Taxonomy Code 2085R0202X
License State Indiana
License Number XF201098
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According to our database, Premier Diagnostic Imaging Llc NPI is 1023049806, taxonomy code is 2085R0202X and license number is XF201098, license state is located at Indiana. Premier Diagnostic Imaging Llc physically located at 135 E Mccallister Dr, Terre Haute IN, 47802-4247. NPI Number 1033115704 has the healthcare provider type.

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1023049806 NPI number is provided on an as is basis without warranty of any kind. 1023049806 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Diagnostic Imaging Llc are for informational purposes only.