Organization
INDIANA UNIVERSITY MEDICAL GENETICS SERVICE, INC.
Active
Organization
INDIANA UNIVERSITY MEDICAL GENETICS SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN E HAINLINE MD, PHD (PHYSICIAN)
(317) 274-2966
Entity
Organization
Contact information
Practice address
975 W WALNUT ST, INDIANAPOLIS, IN 46202-5181
(317) 274-2966
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
Primary
—
IN
207SG0201X
Clinical Genetics (M.D.) Physician
—
IN
207SG0203X
Clinical Molecular Genetics Physician
—
IN
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100460350
—
IN
Enumeration date
05/18/2006
Last updated
08/01/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up