Organization
MERIDIAN GAP CLOSURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELSE COLE (CEO)
(317) 496-7137
Entity
Organization
Contact information
Practice address
3524 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4486
(317) 925-0653
Mailing address
3524 N MERIDIAN ST, INDIANAPOLIS, IN 46208-4486
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
10/19/2023
Last updated
03/03/2025
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