INDIANAPOLIS IMMUNIZATION GROUP is a specialist in Indianapolis, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INDIANAPOLIS IMMUNIZATION GROUP NPI is 1154541795. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Passport Health Indiana.
The provider's business location address is:
1030 E 86TH ST
SUITE E
INDIANAPOLIS, IN
ZIP 46240-866
Phone: (317) 844-2990
Fax: (317) 844-1706
The provider's authorized official is Michael Durs .
The authorized official title is President and has the following contact phone number (317) 844-2990.
The CLIA number assigned to this NPI record is 15D2034389 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/26/2007 and was last updated on 8/22/2020.