Organization
NORTHSIDE CARDIAC CATH LAB PARTNERSHIP
Active
Organization
NORTHSIDE CARDIAC CATH LAB PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA S. LEHMAN (EXECUTIVE VICE PRESIDENT)
(317) 338-6666
Entity
Organization
Contact information
Practice address
8333 NAAB RD, STE 180B, INDIANAPOLIS, IN 46260-5924
(317) 338-9001
(317) 338-9045
Mailing address
8333 NAAB RD, STE 180B, INDIANAPOLIS, IN 46260-5924
(317) 338-9001
(317) 338-9045
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN0743
RAILROAD MEDICARE
IN
Enumeration date
06/08/2006
Last updated
08/22/2020
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