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8888 Keystone Xing Suite 1300 Indianapolis IN 46240-4609 | |
(502) 327-9100 | |
(855) 632-8329 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 8888 Keystone Xing, Indianapolis, Indiana |
Authorized Official Name and Position | Gregory D Latta (BUSINESS MANAGER) |
Authorized Official Contact | 5023279100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 7219 Louisville KY 40257-0219 Ph: (502) 327-9100 | 8888 Keystone Xing Suite 1300 Indianapolis IN 46240-4609 Ph: (502) 327-9100 |
NPI Number | 1598070740 |
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Provider Enumeration Date | 08/12/2010 |
Last Update Date | 03/02/2015 |
Identifier | Type | State | Issuer |
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1598070740 | NPI | - | NPPES |
15D2045574 | Other | IN | CLIA - CERTIFICATE OF WAIVER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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