# EAST CAMPUS SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1891935201
- **Authorized official:** MRS. LORI WALTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (317) 355-7000

## Contact information

- **Practice address:** 5445 E 16TH ST, INDIANAPOLIS, IN 46218-4869
- **Practice address phone:** (317) 355-7000
- **Practice address fax:** (317) 351-2428
- **Mailing address:** 5445 E 16TH ST, INDIANAPOLIS, IN 46218-4869
- **Mailing address phone:** (317) 355-7000
- **Mailing address fax:** (317) 351-2428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 080108171 | IN | Yes |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 07/10/2026