Organization
UNIVERSITY MEDICAL DIAGNOSTIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LEE BETLEY (ASSOCIATE VICE CHAIR)
(317) 274-1450
Entity
Organization
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 274-8660
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(888) 484-3258
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
IN
207R00000X
Internal Medicine Physician
Primary
—
IN
207RC0000X
Cardiovascular Disease Physician
—
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
IN
207RG0100X
Gastroenterology Physician
—
IN
207RH0003X
Hematology & Oncology Physician
—
IN
207RI0200X
Infectious Disease Physician
—
IN
207RN0300X
Nephrology Physician
—
IN
207RP1001X
Pulmonary Disease Physician
—
IN
207RR0500X
Rheumatology Physician
—
IN
208U00000X
Clinical Pharmacology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076157
ANTHEM
IN
05
—
100465190
—
IN
05
—
200397870
—
IN
05
—
201004730
—
IN
Enumeration date
05/09/2006
Last updated
09/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us