Summit Radiology Services LLC
Summit Radiology Services LLC is a healthcare organization registered as Diagnostic Radiology Physician in Lafayette, IN, holding Type 2 (organization) NPI 1124044607 since 2006. The authorized official on file is Glenn Tuckman, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124044607 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Summit Radiology Services LLC |
| Practice address | 3738 LANDMARK DR., SUITE D, Lafayette, IN, 47905 |
| Phone | 7654497984 |
| Fax | 7654499791 |
| Enumeration date | 2006-07-15 |
| Last updated in NPPES | 2013-01-25 |
Authorized official
| Name | Glenn Tuckman |
|---|---|
| Title | President |
| Phone | 7654497984 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200020370B | Medicaid | IN | — |
| 31714000 | Other | WI | MEDICAID |
| 64882822 | Other | KY | MEDICAID |
Copy-ready billing details
Provider: Summit Radiology Services LLC NPI: 1124044607 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 3738 LANDMARK DR., SUITE D, Lafayette, IN, 47905
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821091620 | Glenn Tuckman | Individual | Diagnostic Radiology Physician | Lafayette, IN |
Verify this record
Cross-check NPI 1124044607 against the authoritative CMS record: view Summit Radiology Services LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Summit Radiology Services LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2013-01-25.