OrganizationActive
Innervision Advanced Medical Imaging Center, LLC
NPI 1649543141 · Body Imaging Physician · Lafayette, IN
Provider details
- NPI number
- 1649543141
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Martha Miller, Director of Billing(765) 446-5417
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
- Diagnostic Ultrasound Physician2085U0001X
Allopathic & Osteopathic Physicians
Practice location
1411 S Creasy Lane
Suite 130
Lafayette, IN 47905-7433
Phone: (765) 447-7447
Fax: (765) 446-5317
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4699
Lafayette, IN 47903-4699
Registry dates
- Enumerated
- 2012-02-14
- Last updated
- 2012-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.