Individual
DR. THEODORE P LABUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 715-9965
Mailing address
5901 TECHNOLOGY CENTER DR, INDIANAPOLIS, IN 46278-6013
(317) 328-5050
(317) 328-5053
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01045335A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082137
ANTHEM-351158723
IN
01
—
000000492354
ANTHEM 203778927
IN
01
—
005516
SIHO-351158723
IN
01
—
061437
HEALTH ALLIANCE-351158723
IN
05
—
200224550
—
IN
01
—
300109908
RR MEDCIARE-351158723
IN
01
—
300109913
RR MEDICARE-352047427
IN
01
—
Q0071506
CMOSHO351158723&352047427
IN
Enumeration date
11/09/2005
Last updated
10/03/2016
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