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Organization
INDIANA CENTER FOR PRENATAL DIAGNOSIS, PC
Active
Organization
INDIANA CENTER FOR PRENATAL DIAGNOSIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER LENKE MD (OWNER)
(317) 846-6775
Entity
Organization
Contact information
Practice address
6845 RAMA DR, INDIANAPOLIS, IN 46219-1707
(317) 846-6775
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-3119
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200889210
—
IN
Enumeration date
09/06/2006
Last updated
03/09/2009
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