Organization
INDY MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONITA WEBSTER RT (R) (VICE PRESIDENT)
(317) 431-7345
Entity
Organization
Contact information
Practice address
650 S 800 E, ZIONSVILLE, IN 46077-9716
(317) 431-7345
(317) 769-3847
Mailing address
650 S 800 E, ZIONSVILLE, IN 46077-9716
(317) 431-7345
(317) 769-3847
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
335V00000X
IN
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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