UROLOGY OF INDIANA L.L. C. NPI 1578961314

NPI Information

NPI: 1578961314
Provider Name: UROLOGY OF INDIANA L.L. C.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Specialization: Customized Equipment
Entity Type: Organization
CLIA Number: 15D0935755
Address: 120 AVON MARKET PL STE 200
AVON, IN
ZIP 46123
Phone: (317) 671-8032

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NPI Details

UROLOGY OF INDIANA L.L. C. is a customized equipment durable medical equipment medical supplies in Avon, IN. UROLOGY OF INDIANA L.L. C. NPI is 1578961314. The provider is registered as an organization entity type.

The provider's business location address is:

120 AVON MARKET PL STE 200
AVON, IN
ZIP 46123-021
Phone: (317) 671-8032
Fax: (317) 671-8033

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 15D0935755 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/10/2014 and was last updated on 9/7/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100194370 U	MEDICAID	INDIANA
2	1578961314	OTHER	INDIANA	NSC NPI #
3	1487680518	OTHER	INDIANA	GROUP NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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