| Crown Radiology Associates | |
|
602 N High School Rd Ste A2 Indianapolis IN 46214-3694 | |
| (317) 731-6929 | |
| Not Available |
| Full Name | Crown Radiology Associates |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 602 N High School Rd Ste A2, Indianapolis, Indiana |
| Authorized Official Name and Position | Emmanuel Aiyevbekpen Osagiede (CEO) |
| Authorized Official Contact | 2197564600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Radiology Associates 602 N High School Rd Ste A2 Indianapolis IN 46214-3694 Ph: (317) 731-6929 | Crown Radiology Associates 602 N High School Rd Ste A2 Indianapolis IN 46214-3694 Ph: (317) 731-6929 |
| NPI Number | 1417479247 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/20/2021 |
| Certification Date | 07/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417479247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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