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A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) | |
Magnetic Resonance Imaging (MRI) |
261QM1200X | |||
Radiology |
261QR0200X | 74 | Radiation Therapy Center |
| NPI # | 1962946459 |
| LBN Legal business name | ST. VINCENT MEDICAL GROUP, INC. |
| Authorized official | BRIAN MORRIS - (CFO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/19/2016 |
| Last updated | 02/12/2020 - About 6 years ago |
| Identifiers | n/a |
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ST. VINCENT MEDICAL GROUP, INC.
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| ACCELERATED REHAB CENTERS LTD 1575 S WASHINGTON ST CRAWFORDSVILLE, IN |
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| KURT M TERRELL, MD JOHNSON MEMORIAL HEALTH 1125 W JEFFERSON STREET, IN |
| ADVANCE VOLUNTEER FIRE DEPARTMENT INC. 106 E WALL ST ADVANCE, IN |
ST. VINCENT MEDICAL GROUP, INC.