| Md2u Indiana Llc | |
|
8888 Keystone Xing Suite 1300 Indianapolis IN 46240-4609 | |
| (502) 327-9100 | |
| (855) 632-8329 |
| Full Name | Md2u Indiana Llc |
|---|---|
| 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 |
|---|---|
| Md2u Indiana Llc Po Box 7219 Louisville KY 40257-0219 Ph: (502) 327-9100 | Md2u Indiana Llc 8888 Keystone Xing Suite 1300 Indianapolis IN 46240-4609 Ph: (502) 327-9100 |
| NPI Number | 1598070740 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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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