Provider Demographics
NPI:1164304424
Name:AMERICAN HEALTH NETWORK OF INDIANA LLC/ TELERADIOLOGY
Entity type:Organization
Organization Name:AMERICAN HEALTH NETWORK OF INDIANA LLC/ TELERADIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:COURTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-794-5053
Mailing Address - Street 1:3825 TRUEMAN CT
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2496
Mailing Address - Country:US
Mailing Address - Phone:614-794-5058
Mailing Address - Fax:614-794-4976
Practice Address - Street 1:4101 TECHNOLOGY AVE
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-8548
Practice Address - Country:US
Practice Address - Phone:812-542-1901
Practice Address - Fax:812-941-4506
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN HEALTH NETWORK OF INDIANA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology