NPI | 1336562578 |
---|---|
Entity Type | Organization |
Authorized Contact | ELSE L COLE CEO 317-496-7137 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: IN IN1297) | |
293D00000X Physiological Laboratory | |
Enumeration Date | 2014-01-23 |
Last Update Date | 2025-01-29 |