East Central Indiana Vascular Lab Llc

LBN: East Central Indiana Vascular Lab Llc
East Central Indiana Vascular Lab Llc is an health care organization with primary practice located at 1812 W Royale Dr , Muncie IN 47304-2243. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. East Central Indiana Vascular Lab Llc can be contacted via phone (765) 284-7703, or through Eliades, John via phone (765) 284-7703.

Contact Information

Primary practice address
1812 W Royale Dr Muncie IN 47304-2243
Phone: (765) 284-7703
Fax: (765) 284-6838
Website:
Map and Directions
Authorized official contact:
Name: Eliades, John Doctor of Medicine (MD)
Phone: (765) 284-7703

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Indiana

Profile Details

NPI number 1245252592
LBN Legal business name East Central Indiana Vascular Lab Llc
DBA Doing business as
Authorized official Eliades, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245252592 NPPES
Indiana MEDICAID 201040080

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