Organization
INDIANA CENTER FOR PRENATAL DIAGNOSIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER LENKE MD (OWNER)
(317) 846-6775
Entity
Organization
Contact information
Practice address
6845 RAMA DR, INDIANAPOLIS, IN 46219-1707
(317) 846-6775
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-3119
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200889210
—
IN
Enumeration date
09/06/2006
Last updated
03/09/2009
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