INNERVISION ADVANCED MEDICAL IMAGING
NPI 1710065750
Clinic/Center - Radiology in Lafayette, IN

Active since November 01, 2006CLIA 15D0979093 · Waiver
1411 S CREASY LN, SUITE 130, LAFAYETTE, IN 47905(765) 447-7447 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Innervision Advanced Medical Imaging NPPES

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

INNERVISION ADVANCED MEDICAL IMAGING (NPI 1710065750) is a healthcare organization registered as a radiology in Lafayette, Indiana and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Terrance E Wilson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1710065750
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameGREATER LAFAYETTE HEALTH SERVICES
Location Address1411 S CREASY LN, SUITE 130Lafayette, IN 47905-7438
Mailing Address2400 South StLafayette, IN 47904-3027
Organization SubpartNo
Authorized OfficialTerrance E WilsonChief Executive Officer · (765) 423-6161
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 27, 2007
NPI 1710065750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
1411 S CREASY LN, Lafayette, IN 47905

Other Names 1

Doing Business AsInnervision Advanced Medical Imaging

Other Identifiers 2

Medicare OSCAR/certification150109IN
Other000000311919Anthem

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D0979093
Facility Type
Physician Office
Certificate Effective Date
October 12, 2024
Certificate Expiration Date
October 11, 2026
Laboratory Director
PETER SIMMONS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Innervision Advanced Medical Imaging to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
1411 S CREASY LN, STE. 100
LAFAYETTE, IN 47905
Orthopaedic Surgery
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Physician Assistant (Surgical)
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Physical Therapist
1411 S CREASY LN, SUITE 100
LAFAYETTE, IN 47905
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Physical Therapy Assistant
1411 S CREASY LN, SUITE 100
LAFAYETTE, IN 47905
Physical Therapist
1411 S CREASY LN, SUITE 100
LAFAYETTE, IN 47905
Physical Therapist
1411 S CREASY LN, SUITE 100
LAFAYETTE, IN 47905
Occupational Therapist
1411 S CREASY LN, SUITE 100
LAFAYETTE, IN 47905
Specialist/Technologist (Athletic Trainer)
1411 S CREASY LN, STE 120
LAFAYETTE, IN 47905
Registered Nurse
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Specialist/Technologist, Other (Surgical Technologist)
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Specialist/Technologist, Other (Surgical Technologist)
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Specialist/Technologist, Other (Surgical Technologist)
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905
Physical Therapy Assistant
1411 S CREASY LN, STE 100
LAFAYETTE, IN 47905
Specialist/Technologist, Other (Surgical Technologist)
1411 S CREASY LN, SUITE 120
LAFAYETTE, IN 47905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710065750, enumerated as an "organization" on November 01, 2006.

The provider is located at 1411 S CREASY LN SUITE 130 LAFAYETTE, IN 47905 and the phone number is (765) 447-7447.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.

The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. Please consult your insurance carrier or call the provider to verify.