Organization
INDIANAPOLIS ENDOSCOPY CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY JEAN ANDERSON RN (EXECUTIVE DIRECTOR)
(317) 621-1850
Entity
Organization
Contact information
Practice address
8315 E 56TH ST, SUITE 100, INDIANAPOLIS, IN 46216-1023
(317) 621-1800
(317) 621-3232
Mailing address
8315 E 56TH ST, SUITE 100, INDIANAPOLIS, IN 46216-1023
(317) 621-1800
(317) 621-3232
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
080078861
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200038910
—
IN
Enumeration date
04/01/2008
Last updated
04/20/2009
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