Organization
INDIANA UNIVERSITY RADIOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DUNKLE (PRESIDENT)
(888) 484-3258
Entity
Organization
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-5035
Mailing address
250 N SHADELAND AVE, BILLING REPRESENTATIVE, INDIANAPOLIS, IN 46219-4959
(888) 484-3258
(317) 962-5580
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100277670
—
IN
05
—
200925820
—
IN
01
—
C30085
RAILROAD MEDICARE GROUP
IN
Enumeration date
05/18/2006
Last updated
11/29/2023
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