OrganizationActive
Northeast X-Ray
NPI 1659578409 · Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · Fort Wayne, IN
Provider details
- NPI number
- 1659578409
- Entity type
- Organization
- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Christopher Brown, Owner(260) 484-8414
- License
- XT002431 (IN)
Specialties & taxonomies
- Portable X-ray and/or Other Portable Diagnostic Imaging SupplierPrimary335V00000XLicense XT002431 (IN)
Suppliers
Practice location
2928 Parnell Ave
Fort Wayne, IN 46805-2500
Phone: (260) 484-8414
Approximate (ZIP-level) locationGet directions
Mailing address
2928 Parnell Ave
Fort Wayne, IN 46805-2500
Registry dates
- Enumerated
- 2007-06-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.