1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Clinic Center
  6. NPI Profile

PRO SURGE INDY LLC
NPI 1114482122
Clinic/Center - Pain in Indianapolis, IN

Active since February 04, 2019
4725 STATESMEN DR STE B, INDIANAPOLIS, IN 46250(480) 930-4018 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2019, Feb 4, 2019 (2 updates tracked since 2019).

About Pro Surge Indy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO SURGE INDY LLC (NPI 1114482122) is a healthcare organization registered as a pain in Indianapolis, Indiana and active in the NPI registry since February 2019. The organization lists Kristy Morgan, Member, as its authorized official.

NPPES Registry Identity

NPI1114482122
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePRO SURGE INDY LLC
Location Address4725 STATESMEN DR STE BIndianapolis, IN 46250-5645
Mailing Address2413 N Meridian StIndianapolis, IN 46208-5854
Phone(480) 930-4018
Organization SubpartNo
Authorized OfficialKristy MorganMember · (623) 935-9920
Enumeration DateFebruary 4, 2019
Last NPPES UpdateMarch 6, 20192 updates tracked since enumeration
✔ NPI 1114482122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
4725 STATESMEN DR STE B, Indianapolis, IN 46250
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRASH CHIRO SERVICES LLC
Chiropractor
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250
Marion County (317) 343-9040
PURE LIFE INJURY LLC
Clinic/Center (Multi-Specialty)
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250
Marion County (480) 566-9755
MEDICALLY INTEGRATED CHIROPRACTIC CENTER OF INDIANAPOLIS LLC
Chiropractor
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250
Marion County (317) 343-9040
PURE LIFE CLINIC LLC
Clinic/Center (Multi-Specialty)
4725 STATESMEN DR STE B
INDIANAPOLIS, IN 46250
Marion County (480) 566-9755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pro Surge Indy LLC's NPI number?

The NPI number for Pro Surge Indy LLC is 1114482122. It was assigned to this organization in the NPPES registry on February 4, 2019.

Where is Pro Surge Indy LLC located?

Pro Surge Indy LLC is located at 4725 Statesmen Dr Ste B, Indianapolis, IN 46250. The listed phone number is (480) 930-4018.

What is Pro Surge Indy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Pro Surge Indy LLC was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.