15D2261226 CLIA NUMBER - INDIANA PELVIC PAIN SPECIALISTS

Laboratory Demographics

CLIA Number: 15D2261226

Facility Name: INDIANA PELVIC PAIN SPECIALISTS

Facility Address:
23 S 8TH STREET SUITE 400
NOBLESVILLE, IN
ZIP 46060
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Facility Phone Number: 317 288-1763

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073257291

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	15D2261226
LAB Type	Physician Office
Facility Name	INDIANA PELVIC PAIN SPECIALISTS
Street	23 S 8TH STREET SUITE 400
City	NOBLESVILLE
State	IN
ZIP	46060
Phone	317 288-1763
CertificateType	4
CertificateEffectiveDate	5/27/2022
CertificateExpirationDate	5/26/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024