# IU HEALTH CARDIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053663138
- **Authorized official:** SHANNON HANNON MBA (MANAGER)
- **Authorized official phone:** (219) 326-1234

## Contact information

- **Practice address:** 901 LINCOLNWAY, LA PORTE, IN 46350-3430
- **Practice address phone:** (219) 324-0014
- **Mailing address:** 901 LINCOLNWAY, LA PORTE, IN 46350-3430
- **Mailing address phone:** (219) 324-0014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 28173025A | IN | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 10/12/2012