Goodman Campbell Brain And Spine

LBN: Indianapolis Neurosurgical Group
Goodman Campbell Brain And Spine is an health care organization with primary practice located at 1925 N. Capitol Avenue , Indianapolis IN 46202. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, which is considered as the primary health care specialty. Indianapolis Neurosurgical Group can be contacted via phone (317) 396-1300, or through Cantrell, Derek via phone (317) 396-1300.

Contact Information

Primary practice address
1925 N. Capitol Avenue Indianapolis IN 46202
Phone: (317) 396-1300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cantrell, Derek
Phone: (317) 396-1300

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X

Profile Details

NPI number 1154541753
LBN Legal business name Indianapolis Neurosurgical Group
DBA Doing business as Goodman Campbell Brain And Spine
Authorized official Cantrell, Derek
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Dec 29th, 2009 - about 15 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 1154541753 NPPES
Indiana MEDICAID 100318390R

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