Neurodiagnostic Institute Pharmacy

LBN: State Of Indiana Auditor Of State
Neurodiagnostic Institute Pharmacy is an health care organization with primary practice located at 5435 East 16Th Street , Indianapolis IN 46218-5101. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. State Of Indiana Auditor Of State can be contacted via phone (317) 941-4000, or through Rutherford, Donna L via phone (317) 232-7862.

Contact Information

Primary practice address
5435 East 16Th Street Indianapolis IN 46218-5101
Phone: (317) 941-4000
Fax: (317) 941-4378
Website:
Map and Directions
Authorized official contact:
Name: Rutherford, Donna L
Phone: (317) 232-7862

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 60001313A Indiana

Profile Details

NPI number 1356356968
LBN Legal business name State Of Indiana Auditor Of State
DBA Doing business as Neurodiagnostic Institute Pharmacy
Authorized official Rutherford, Donna L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jan 9th, 2019 - about 7 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 1356356968 NPPES
Indiana MEDICAID 100273130A
Indiana Other 2024895

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