MICHIANA INTERVENTIONAL AND VASCULAR SERVICES, LLC – NPI #1386375194
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

MICHIANA INTERVENTIONAL AND VASCULAR SERVICES, LLC is a radiologist located in MISHAWAKA, IN. NPPES has assigned the NPI number 1386375194 to MICHIANA INTERVENTIONAL AND VASCULAR SERVICES, LLC on June 22, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 4 years ago on Jun 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHIANA INTERVENTIONAL AND VASCULAR SERVICES, LLC below.

NPI Profile for
MICHIANA INTERVENTIONAL AND VASCULAR SERVICES, LLC

NPI Number
1386375194
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHIANA INTERVENTIONAL AND VASCULAR SERVICES, LLC
Primary location
611 E DOUGLAS RD STE 200
MISHAWAKA, IN 46545-1465
Phone: (574) 272-5347 Fax: (574) 272-8617
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BONNIE COATES
MANAGER
Phone: (574) 210-2473
Updated
Certification Date
Jun 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.