National Provider Identifier Database

IRVING RADIOLOGY INC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

IRVING RADIOLOGY, INC
4011 S MONROE MEDICAL PARK BLVD
BLOOMINGTON, IN47403
Phone: 239-309-0602
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for IRVING RADIOLOGY, INC

NPI Number 1184305526
Legal business name
LBN
IRVING RADIOLOGY, INC
Authorized official WINSTON IRVING - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 07/28/2023
Last updated 07/18/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 99119700A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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