MEDICARE: NUCLEAR CARDIOLOGY CENTERS, INC

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	261QH0100X	Health Service Clinic/Center		IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000376904	OTHER	IN	ANTHEM GREENSBURG
2	000000376917	OTHER	IN	ANTHEM EMERSON

General Provider Information

NPI Number	:	1568415982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUCLEAR CARDIOLOGY CENTERS, INC

Provider Business Mailing Address
First Line	:	7855 S EMERSON AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-8669
Country	:	US
Telephone Number	:	317-888-2809
Fax Number	:

Provider Business Practice Location Address
First Line	:	7855 S EMERSON AVE SUITE N
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-8669
Country	:	US
Telephone Number	:	317-888-2809
Fax Number	:

Authorized Official
Title or Position	:	VP OF OPERATIONS
Name	:	CARLOS QUIROGA
Credential	:
Telephone Number	:	630-926-7031

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	08/22/2020

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