Healthcare Provider Details

I. General information

NPI: 1033194915
Provider Name (Legal Business Name): AMERICAN HEALTH IMAGING OF INDIANA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7330 E 82ND ST
INDIANAPOLIS IN
46256-1465
US

IV. Provider business mailing address

1800 CENTURY BLVD NE SUITE 1400
ATLANTA GA
30345-3202
US

V. Phone/Fax

Practice location:
  • Phone: 317-578-3988
  • Fax:
Mailing address:
  • Phone: 404-296-5887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SCOTT WARREN ARANT
Title or Position: CEO
Credential:
Phone: 404-296-5887