Indiana University Medical Genetics Service, Inc.

LBN: Indiana University Medical Genetics Service, Inc.
Indiana University Medical Genetics Service, Inc. is an health care organization with primary practice located at 975 W Walnut St , Indianapolis IN 46202-5181. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cytogenetic, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Clinical Molecular Genetics, Allopathic & Osteopathic Physicians / Molecular Genetic Pathology. Allopathic & Osteopathic Physicians / Clinical Cytogenetic is the primary health care specialty. Indiana University Medical Genetics Service, Inc. can be contacted via phone (317) 274-2966, or through Hainline, Bryan E via phone (317) 274-2966.

Contact Information

Primary practice address
975 W Walnut St Indianapolis IN 46202-5181
Phone: (317) 274-2966
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hainline, Bryan E MD, PHD
Phone: (317) 274-2966

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X Indiana
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X Indiana
Allopathic & Osteopathic Physicians / Clinical Molecular Genetics 207SG0203X Indiana
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207SM0001X Indiana

Profile Details

NPI number 1780637058
LBN Legal business name Indiana University Medical Genetics Service, Inc.
DBA Doing business as
Authorized official Hainline, Bryan E MD, PHD
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Aug 1st, 2014 - about 10 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 1780637058 NPPES
Indiana MEDICAID 100460350

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