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General NPI Number Information
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NPI Number | 1255301354
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Entity Type | Organization
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Legal Business Name | DIAGNOSTIC IMAGING SERVICES INC
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 200 SE HOSPITAL AVE
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City | STUART
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State | FL
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Zip | 34994-2346
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Country | US
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Telephone | 772-287-5200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3168
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-3168
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Country | US
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Telephone | 855-251-1854
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Fax | 855-270-9738
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN PATTEN
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Credential | M.D.
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Telephone | 813-760-0506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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