Organization
INDY MEDICAL SUPPLY SERVICES
Active
Other names
SAME AS ABOVE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CAMILLUS RICHARD INYANG BS COMPUTER TECH (PRESIDENT)
(317) 280-8315
Entity
Organization
Contact information
Practice address
3737 NORTH MERIDIAN STREET, SUITE 503, INDIANAPOLIS, IN 46208-4308
(317) 280-8315
(317) 280-8355
Mailing address
3737 N MERIDIAN ST, SUITE 503, INDIANAPOLIS, IN 46208-4348
(317) 280-8315
(317) 280-8355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
69000203A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200444810A
—
IN
Enumeration date
02/06/2007
Last updated
09/14/2016
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