Organization
INDIANA BLOOD AND MARROW TRANSPLANTATION LLC
Active
Organization
INDIANA BLOOD AND MARROW TRANSPLANTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA PHALEN (DIRECTOR REV INTEGRITY)
(219) 554-4548
Entity
Organization
Contact information
Practice address
8111 S EMERSON AVE, SUITE 105, INDIANAPOLIS, IN 46237-8601
(317) 528-5500
(317) 528-7356
Mailing address
PO BOX 781090, DETROIT, MI 48278-1090
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100131340
—
IN
Enumeration date
08/18/2006
Last updated
09/19/2023
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