Organization
CENTER FOR REPRODUCTIVE BIOLOGY OF INDIANA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A HENRY M.D. (MEDICAL DIRECTOR AND CO-OWNER)
(317) 817-1800
Entity
Organization
Contact information
Practice address
201 PENNSYLVANIA PKWY, SUITE 310, INDIANAPOLIS, IN 46280-2301
(317) 817-1800
(317) 817-1810
Mailing address
201 PENNSYLVANIA PKWY, SUITE 310, INDIANAPOLIS, IN 46280-2301
(317) 817-1800
(317) 817-1810
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033648
M-PLAN
IN
01
—
000000378902
ANTHEM INSURANCE CO.
IN
Enumeration date
02/06/2007
Last updated
08/22/2020
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