Healthcare Provider Details

I. General information

NPI: 1457682239
Provider Name (Legal Business Name): STRICKLER RADIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2010
Last Update Date: 08/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 S. MONROE MED PARK BLVD
BLOOMINGTON IN
47403-8000
US

IV. Provider business mailing address

PO BOX 2089
BLOOMINGTON IN
47402-2089
US

V. Phone/Fax

Practice location:
  • Phone: 812-332-8242
  • Fax: 812-333-7684
Mailing address:
  • Phone: 812-332-8242
  • Fax: 812-333-7684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVE STRICKLER
Title or Position: OWNER/DOCTOR
Credential: M.D.
Phone: 812-332-8242