UROLOGY OF INDIANA L.L.C. NPI 1487734018

NPI Information

UROLOGY OF INDIANA, L.L.C. is a customized equipment durable medical equipment medical supplies in Indianapolis, IN. UROLOGY OF INDIANA, L.L.C. NPI is 1487734018. The provider is registered as an organization entity type.

The provider's business location address is:

1270 N POST RD STE A
INDIANAPOLIS, IN
ZIP 46219-254
Phone: (317) 895-6095
Fax: (317) 895-6195

The provider's authorized official is Bradley G. Orris .
The authorized official title is M.d. /owner and has the following contact phone number (317) 859-7222.

The CLIA number assigned to this NPI record is 15D0353762 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/17/2006 and was last updated on 3/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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