Organization
IMSG INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHNSON (PRESIDENT)
(317) 690-5532
Entity
Organization
Contact information
Practice address
3266 N MERIDIAN ST, SUITE 708, INDIANAPOLIS, IN 46208-5846
(317) 690-5532
Mailing address
3266 N MERIDIAN ST, SUITE 708, INDIANAPOLIS, IN 46208-5846
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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