Organization
INDIANA SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANDA J BECKNER (VICE PRESIDENT OF OPERATIONS)
(317) 885-3787
Entity
Organization
Contact information
Practice address
701 E COUNTY LINE RD, SUITE 207, GREENWOOD, IN 46143-1072
(317) 887-6400
(317) 887-6500
Mailing address
701 E COUNTY LINE RD, SUITE 207, GREENWOOD, IN 46143-1072
(317) 887-6400
(317) 887-6500
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
01036623A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01067876A
MEDICAL DIRECTOR LICENSE NUMBER
IN
Enumeration date
09/08/2009
Last updated
07/03/2024
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