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INDIANA UNIVERSITY MEDICAL GENETICS SERVICE INC. NPI 1780637058


NPI Information

NPI: 1780637058
Provider Name: INDIANA UNIVERSITY MEDICAL GENETICS SERVICE, INC.
Classification: Medical Genetics - 207SC0300X
Entity Type: Organization

Specialization: Clinical Cytogenetics

Address:
975 W WALNUT ST
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-2966
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INDIANA UNIVERSITY MEDICAL GENETICS SERVICE, INC. is a clinical cytogenetics medical genetics in Indianapolis, IN. The provider is a clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. INDIANA UNIVERSITY MEDICAL GENETICS SERVICE, INC. NPI is 1780637058. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

975 W WALNUT ST
INDIANAPOLIS, IN
ZIP 46202-181
Phone: (317) 274-2966

The provider's authorized official is Bryan E Hainline .
The authorized official title is Physician and has the following contact phone number (317) 274-2966.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/1/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207SG0201XMedical GeneticsClinical Genetics (M.D.)INDIANANo
2207SG0203XMedical GeneticsClinical Molecular GeneticsINDIANANo
3207SM0001XMedical GeneticsMolecular Genetic PathologyINDIANANo
4207SC0300XMedical GeneticsClinical CytogeneticsINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1247720MEDICARE PININDIANA
2100460350MEDICAIDINDIANA

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: 4/28/2024

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