MEDICARE: ADVANCED IMAGING CENTER 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
1	261QR0200X	Radiology Clinic/Center	1996061345	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033112990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED IMAGING CENTER LLC

Provider Business Mailing Address
First Line	:	7860 BURR ST
Second Line	:
City	:	SCHERERVILLE
State	:	IN
Zip	:	46375
Country	:	US
Telephone Number	:	219-864-2900
Fax Number	:	219-864-2910

Provider Business Practice Location Address
First Line	:	7860 BURR ST
Second Line	:
City	:	SCHERERVILLE
State	:	IN
Zip	:	46375
Country	:	US
Telephone Number	:	219-864-2900
Fax Number	:	219-864-2910

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. SHODHAN L PATEL
Credential	:	MD
Telephone Number	:	219-864-2900

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	02/24/2009

Similar Medicare Providers

1336142066 — YASIR FASIH M.D.
Practice Location Address:

505 W LINCOLN HWY
SCHERERVILLE, IN
46375-2650

Practice Phone: 219-322-3311
Practice Fax: 219-322-8210

1598769564 — TOWN OF SCHERERVILLE
Practice Location Address:

1650 CLINE AVE
SCHERERVILLE, IN
46375-2020

Practice Phone: 219-322-2599
Practice Fax: 219-865-5506

1104823848 — DR. GREGORY P. MCCOMIS M.D.
Practice Location Address:

1545 W US HIGHWAY 30
SCHERERVILLE, IN
46375-1562

Practice Phone: 219-703-2440
Practice Fax: 219-703-6751

1770582264 — ILLIANA SURGERY & MEDICAL CENTER, LLC
Practice Location Address:

2001 US HIGHWAY 41
SCHERERVILLE, IN
46375-2892

Practice Phone: 219-865-7986
Practice Fax: 219-865-7992

1104826676 — JOSEPH CONANAN LEGASPI MD
Practice Location Address:

1500 INDIANAPOLIS BLVD
SCHERERVILLE, IN
46375

Practice Phone: 219-440-7373
Practice Fax: 219-836-0355

1093716466 — DR. PATRICIA ANNA GRAHAM PSYD., HSPP
Practice Location Address:

1112 US HIGHWAY 41 STE 108
SCHERERVILLE, IN
46375-1361

Practice Phone: 773-501-3557
Practice Fax:

Directions to “ADVANCED IMAGING CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.