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NPI Code Detail

MEDICARE: INQUEST MRI, LLC

MEDICARE: INQUEST MRI, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number : 1811206832
Entity Type Code : Organization
Provider Name (Legal Business Name) : INQUEST MRI, LLC
Provider Business Mailing Address
First Line : 6819 LIMA RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-1145
Country : US
Telephone Number : 260-407-6200
Fax Number : 260-407-6201
Provider Business Practice Location Address
First Line : 6819 LIMA RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-1145
Country : US
Telephone Number : 260-407-6200
Fax Number : 260-407-6201
Authorized Official
Title or Position : PRESIDEN
Name : DR. WILLIAM P. HEDRICK
Credential : M.D.
Telephone Number : 260-407-6200
Provider Enumeration Date : 09/26/2010
Last Update Date : 09/26/2010

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