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

Memorial Lighthouse Imaging LLC

Organization Body Imaging Physician · NPI 1730225848

Memorial Lighthouse Imaging LLC is a Body Imaging Physician in South Bend, Indiana. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
5
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

919 E Jefferson Blvd
South Bend, IN 46617-3112
Phone: (574) 288-4486
Fax: (574) 258-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Ultrasound Physician (primary) Taxonomy 2085U0001X
Body Imaging Physician Taxonomy 2085B0100X
Neuroradiology Physician Taxonomy 2085N0700X
Pediatric Radiology Physician Taxonomy 2085P0229X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1730225848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pedro Miro — Manager · (574) 258-1100
NPI enumeratedJanuary 29, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784

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