Organization
ADVANCED REPRODUCTION INSTITUTE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LEE GENTRY M.D. (PRESIDENT)
(317) 817-1300
Entity
Organization
Contact information
Practice address
1222 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8002
(812) 473-9934
(812) 473-7292
Mailing address
1222 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8002
(812) 473-9934
(812) 473-7292
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000199682
ANTHEM PIN #
IN
Enumeration date
03/28/2007
Last updated
08/22/2020
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