Healthcare Provider Details

I. General information

NPI: 1477506319
Provider Name (Legal Business Name): NUFINITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 S CREASY LN SUITE A
LAFAYETTE IN
47905-4960
US

IV. Provider business mailing address

PO BOX 6599
LAFAYETTE IN
47903-6599
US

V. Phone/Fax

Practice location:
  • Phone: 765-446-5292
  • Fax: 765-446-5290
Mailing address:
  • Phone: 765-446-5292
  • Fax: 765-446-5290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number StateIN

VIII. Authorized Official

Name: RANDY R FISCHER
Title or Position: EXECUTIVE OFFICER
Credential:
Phone: 765-446-5292