Organization
STATE OF INDIANA, AUDITOR OF STATE
Active
Other names
NeuroDiagnostic Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L RUTHERFORD (CONTROLLER, INDIANA FAMILY & SOCIAL)
(317) 232-7862
Entity
Organization
Contact information
Practice address
5435 EAST 16TH STREET, INDIANAPOLIS, IN 46218-5101
(317) 941-4000
(317) 941-4378
Mailing address
5435 EAST 16TH STREET, INDIANAPOLIS, IN 46218-5101
(317) 941-4000
(317) 941-4378
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
01/09/2019
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