Organization
ADMIRAL MEDICAL CENTER, INC
Active
Other names
Professional Diabetes Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GRAVES (MGR)
(317) 924-3757
Entity
Organization
Contact information
Practice address
5435 EMERSON WAY, SUITE 210, INDIANAPOLIS, IN 46226-1466
(317) 924-3757
Mailing address
5435 EMERSON WAY, SUITE 210, INDIANAPOLIS, IN 46226-1466
(317) 924-3757
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201119870A
—
IN
Enumeration date
08/29/2012
Last updated
12/27/2013
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