CMS-1500 Box 24J / 33a • NPI
1578835237
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
293D00000X (CMS 47)
Licensed & Credentialed Laboratories — Physiological Laboratory
Box 32 Service Location & ZIP+4
2716 S WESTERN AVE, MARION, IN, 46953-3574
✓ 9-Digit EDI 837 ZIP+4 (46953-3574)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1578835237 (AMERICAN IMAGING AND MRI, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1578835237 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AMERICAN IMAGING AND MRI, LLC |
| Plain-English Specialty | Licensed & Credentialed Laboratories — Physiological Laboratory NUCC Code: 293D00000X (Physiological Laboratory) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2716 S WESTERN AVE, MARION, IN, 46953-3574 |
| Practice Telephone / Fax | Tel: (765) 662-0100 | Fax: (765) 662-0101 |
| Administrative Mailing Address | 2716 S WESTERN AVE, MARION, IN, 46953-3574 |
| Enumeration & Last Sync | Enumerated: 2012-01-27 | CMS Record Updated: 2026-09-16 |
| Authorized Official | GARDNER BARTROM (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (293D00000X)
What Does Taxonomy Code 293D00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 293D00000X translates to:
"Licensed & Credentialed Laboratories — Physiological Laboratory"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMERICAN IMAGING AND MRI, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QM1200X — Clinic/Center, Magnetic Resonance Imaging (MRI)Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Secondary |
293D00000X — Physiological LaboratoryPlain English: Licensed & Credentialed Laboratories — Physiological Laboratory | State: IN | License: 01036335A | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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