Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beacon Health, LLC

Organization Diagnostic Radiology Physician · NPI 1912796699

Beacon Health, LLC is a Diagnostic Radiology Physician in Mishawaka, Indiana. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

202 Lincolnway E Ste 200
Mishawaka, IN 46544-2079
Phone: (574) 647-2301
Fax: (574) 647-2302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Magnetic Resonance Imaging (MRI) Clinic/Center Taxonomy 261QM1200X
Radiology Clinic/Center Taxonomy 261QR0200X

Record details

NPI number1912796699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Costello — Cfo · (574) 647-3460
Other names Beacon Imaging Mishawaka
NPI enumeratedMay 1, 2025
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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