IMAGING CENTER OF NORTH CENTRAL INDIANA, INC. (NPI# 1619916954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619916954 |
| Entity Type | Organization |
| Organization Name | IMAGING CENTER OF NORTH CENTRAL INDIANA, INC. |
| Practice Address |
2201 West Blvd. Kokomo IN 46902 |
| Mailing Address |
2201 West Boulvard Kokomo IN 46902-0607 |
| Practice Telephone | 7654520808 |
| Practice Fax Number | 7564551711 |
| Mailing Telephone | 7654520808 |
| Mailing Fax Number | 7564551711 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL M. DELIUSE JR. (TREASURER) |
| Authorized Official Telephone | 17654538404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
2201 WEST BLVD. |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730717331 | St Marys Health Inc | Physiological Laboratory | 100 St Marys Epworth Xing # C100, Newburgh, IN 47630-9497 | 2020-03-30 |
| 1720555170 | St. Vincent Medical Group, Inc. | Physiological Laboratory | 1300 Innovation Parkway, #150, Greenwood, IN 46143-3625 | 2018-10-24 |
| 1356891568 | Lifetime Imaging LLC | Physiological Laboratory | 5144 E Stop 11 Road, Suite 18, Indianapolis, IN 46237-8606 | 2016-10-12 |
| 1588032023 | Community Imaging Associates, LLC | Physiological Laboratory | 13121 Olio Rd Ste 120, Fishers, IN 46037-7240 | 2015-09-14 |
| 1235507773 | Community Imaging Associates, LLC | Physiological Laboratory | 10122 E 10th St Ste 101, Indianapolis, IN 46229-3046 | 2015-09-14 |
| 1225406770 | Community Imaging Associates, LLC | Physiological Laboratory | 11911 N Meridian St Ste 175, Carmel, IN 46032-6944 | 2015-09-14 |
| 1376700088 | Medical Diagnostic Services Inc | Physiological Laboratory | Medical Diagnostic Services Inc, 8007 S Meridian St, Indianapolis, IN 46217-2901 | 2008-05-20 |
| 1962421172 | Indiana Ultrasound Diagnostics | Physiological Laboratory | 205 E Carmel Dr, Carmel, IN 46032-2606 | 2006-07-19 |
| 1548239973 | Insight Health Corp. | Physiological Laboratory | 590 Missouri Ave, Ste 200, Clarksville, IN 47129-0000 | 2006-03-16 |
| 1114923976 | Isis Medical, Incorporated | Physiological Laboratory | 119 Garwood Rd, Richmond, IN 47374-6031 | 2005-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IMAGING CENTER OF NORTH CENTRAL INDIANA, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.