OrganizationActive
Ancillary Medical Consultants, LLC
NPI 1821094178 · Computed Tomography Radiologic Technologist · Elkhart, IN
Provider details
- NPI number
- 1821094178
- Entity type
- Organization
- Primary specialty
- Computed Tomography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Gary Kirk, Member
Practice location
303 S Nappanee St
Elkhart, IN 46514-2066
Phone: (574) 296-3200
Fax: (574) 296-3936
Mailing address
4197 Fulton Dr Nw
Canton, OH 44718-2819
Registry dates
- Enumerated
- 2005-06-22
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.