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MEMORIAL LIGHTHOUSE IMAGING LLC
NPI 1730225848
Radiology - Diagnostic Ultrasound in South Bend, IN

Active since January 29, 2007
919 E JEFFERSON BLVD, SOUTH BEND, IN 46617(574) 288-4486(574) 258-1101 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Memorial Lighthouse Imaging Llc NPPES

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

MEMORIAL LIGHTHOUSE IMAGING LLC (NPI 1730225848) is a healthcare organization registered as a diagnostic ultrasound in South Bend, Indiana and active in the NPI registry since January 2007. The organization lists Pedro A Miro, Manager, as its authorized official.

NPPES Registry Identity

NPI1730225848
Entity TypeOrganization
Primary Taxonomy2085U0001X
Legal Business NameMEMORIAL LIGHTHOUSE IMAGING LLC
Location Address919 E JEFFERSON BLVDSouth Bend, IN 46617-3112
Mailing Address620 W Edison Rd, Suite 110Mishawaka, IN 46545-2784 · (574) 258-1100 · Fax (574) 258-1101
Phone(574) 288-4486
Fax(574) 258-1101
Organization SubpartNo
Authorized OfficialPedro A MiroManager · (574) 258-1100
Enumeration DateJanuary 29, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1730225848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Diagnostic UltrasoundAllopathic & Osteopathic Physicians
Taxonomy Code2085U0001X
Definition

A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

MICHELE KARI GROSS
Audiologist-Hearing Aid Fitter
919 E JEFFERSON BLVD, STE.104
SOUTH BEND, IN 46617
St. Joseph County (574) 232-8515
MRS. STACY LYNN GARTON LCSW
Social Worker (Clinical)
919 E JEFFERSON BLVD, SUITE 401
SOUTH BEND, IN 46617
St. Joseph County (574) 287-4197
DR. RITA DONLEY PH.D.
Psychologist (Counseling)
919 E JEFFERSON BLVD, SUITE 402
SOUTH BEND, IN 46617
St. Joseph County (574) 289-9700
DR. LAUREN ELIZABETH ALAVANJA D.D.S.
Dentist (Pediatric Dentistry)
919 E JEFFERSON BLVD
SOUTH BEND, IN 46617
St. Joseph County (574) 245-7501
MICHAEL D. RADER, D.D.S., INC.
Dentist (General Practice)
919 E JEFFERSON BLVD, SUITE 408
SOUTH BEND, IN 46617
St. Joseph County (574) 233-0014
DR. JOSEPHINE ANN DICKINSON PH.D.
Psychologist
919 E JEFFERSON BLVD, SUITE 402
SOUTH BEND, IN 46617
St. Joseph County (574) 289-9700
BROOKE K. KARNES
Hearing Instrument Specialist
919 E JEFFERSON BLVD, STE.104
SOUTH BEND, IN 46617
St. Joseph County (574) 232-5815
MEGAN HARRITY PH.D.
Psychologist
919 E JEFFERSON BLVD, SUITE 402
SOUTH BEND, IN 46617
St. Joseph County (574) 289-9700

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 Memorial Lighthouse Imaging LLC's NPI number?

The NPI number for Memorial Lighthouse Imaging LLC is 1730225848. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Memorial Lighthouse Imaging LLC located?

Memorial Lighthouse Imaging LLC is located at 919 E Jefferson Blvd, South Bend, IN 46617. The listed phone number is (574) 288-4486.

What is Memorial Lighthouse Imaging LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Ultrasound, with taxonomy code 2085U0001X.

When was this NPI record last updated?

The NPPES record for Memorial Lighthouse Imaging LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.