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INDIANAPOLIS NEUROSURGICAL GROUP PC NPI 1861612467


NPI Information

NPI: 1861612467
Provider Name: INDIANAPOLIS NEUROSURGICAL GROUP PC

Doing Business As: GOODMAN CAMPBELL BRAIN AND SPINE

Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
7330 E 82ND ST
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 396-1300
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INDIANAPOLIS NEUROSURGICAL GROUP PC is a magnetic resonance imaging radiologic technologist in Indianapolis, IN. INDIANAPOLIS NEUROSURGICAL GROUP PC NPI is 1861612467. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Goodman Campbell Brain And Spine.

The provider's business location address is:

7330 E 82ND ST
INDIANAPOLIS, IN
ZIP 46256-465
Phone: (317) 396-1300

The provider's authorized official is Derek Cantrell .
The authorized official title is Cfo and has the following contact phone number (317) 396-1300.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 6/4/2015.


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
12471M1202XRadiologic TechnologistMagnetic Resonance ImagingYes

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
1061570MEDICARE UPININDIANA

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: 11/14/2023

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