Indiana University Radiology Associates Inc

LBN: Indiana University Radiology Associates Inc
Indiana University Radiology Associates Inc is an health care organization with primary practice located at 250 N Shadeland Ave Ste 200, Indianapolis IN 46219-4959. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Radiology. Dental Providers / Oral and Maxillofacial Radiology is the primary health care specialty. Indiana University Radiology Associates Inc can be contacted via phone (317) 962-4836, or through Luckey, Randall J via phone (317) 472-4565.

Contact Information

Primary practice address
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959
Phone: (317) 962-4836
Fax: (317) 962-4391
Website:
Map and Directions
Authorized official contact:
Name: Luckey, Randall J
Phone: (317) 472-4565

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12010577 Indiana
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X 12010577 Indiana

Profile Details

NPI number 1376889568
LBN Legal business name Indiana University Radiology Associates Inc
DBA Doing business as
Authorized official Luckey, Randall J
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 17th, 2012
Last updated Jun 5th, 2013 - about 11 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 1376889568 NPPES
Indiana MEDICAID 201129790

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