Provider Demographics
NPI:1275725780
Name:CARDINAL IMAGING
Entity Type:Organization
Organization Name:CARDINAL IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ALLANDRA
Authorized Official - Last Name:PIATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-855-7100
Mailing Address - Street 1:PO BOX 20367
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40250-0367
Mailing Address - Country:US
Mailing Address - Phone:502-722-8832
Mailing Address - Fax:
Practice Address - Street 1:6845 RAMA DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-1707
Practice Address - Country:US
Practice Address - Phone:317-354-1330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)