INNERVISION ADVANCED MEDICAL IMAGING CENTER, LLC - NPI 1649543141

Q: What is Innervision Advanced Medical Imaging Center, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

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About Innervision Advanced Medical Imaging Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNERVISION ADVANCED MEDICAL IMAGING CENTER, LLC (NPI 1649543141) is a healthcare organization registered as a body imaging in Lafayette, Indiana and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Martha K Miller, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1649543141

Entity TypeOrganization

Primary Taxonomy2085B0100X

Legal Business NameINNERVISION ADVANCED MEDICAL IMAGING CENTER, LLC

Location Address1411 S CREASY LANE, SUITE 130Lafayette, IN 47905-7433

Mailing AddressPo Box 4699Lafayette, IN 47903-4699 · (765) 449-2732 · Fax (765) 446-5317

Phone(765) 447-7447

Fax(765) 446-5317

Organization SubpartNo

Authorized OfficialMartha K MillerDirector Of Billing · (765) 446-5417

Enumeration DateFebruary 14, 2012

✔ NPI 1649543141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians

Taxonomy Code2085B0100X

Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X

1411 S CREASY LANE, Lafayette, IN 47905

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0979093

Innervision Advanced Medical Imaging · Lafayette, IN

Active · expires Oct 11, 2026

CLIA Number15D0979093

Laboratory TypePhysician Office

Certificate Effective DateOctober 12, 2024

Certificate Expiration DateOctober 11, 2026

Laboratory DirectorPeter Simmons

Laboratory Phone(765) 447-7447

Laboratory LocationInnervision Advanced Medical Imaging3801 Amelia Ave, Ste A, Lafayette, IN 47905

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JON E NEWMAN CST

1411 S CREASY LANE, SUITE 120
LAFAYETTE, IN 47905

Tippecanoe County (765) 447-4165

MR. DOUGLAS D KESLER PA

Physician Assistant

1411 S CREASY LANE, SUITE 120
LAFAYETTE, IN 47905

Tippecanoe County (765) 447-4165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innervision Advanced Medical Imaging Center, LLC's NPI number?

The NPI number for Innervision Advanced Medical Imaging Center, LLC is 1649543141. It was assigned to this organization in the NPPES registry on February 14, 2012.

Where is Innervision Advanced Medical Imaging Center, LLC located?

Innervision Advanced Medical Imaging Center, LLC is located at 1411 S Creasy Lane Suite 130, Lafayette, IN 47905. The listed phone number is (765) 447-7447.

What is Innervision Advanced Medical Imaging Center, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

Does Innervision Advanced Medical Imaging Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0979093) is associated with this NPI, valid through October 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Innervision Advanced Medical Imaging Center, LLC was last updated on February 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.