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INDIANA UNIVERSITY RADIOLOGY ASSOCIATES INC
NPI 1376889568
Dentist - Oral and Maxillofacial Radiology in Indianapolis, IN

Active since December 17, 2012
250 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46219(317) 962-4836(317) 962-4391 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Indiana University Radiology Associates Inc NPPES

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

INDIANA UNIVERSITY RADIOLOGY ASSOCIATES INC (NPI 1376889568) is a healthcare organization registered as an oral and maxillofacial radiology in Indianapolis, Indiana and active in the NPI registry since December 2012. The organization lists Randall J Luckey, Secretary, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1376889568
Entity TypeOrganization
Primary Taxonomy1223X0008X
Legal Business NameINDIANA UNIVERSITY RADIOLOGY ASSOCIATES INC
Location Address250 N SHADELAND AVE, STE 200Indianapolis, IN 46219-4959
Mailing Address714 N Senate Ave, Ste 100Indianapolis, IN 46202-3763 · (317) 962-4836 · Fax (317) 962-4391
Phone(317) 962-4836
Fax(317) 962-4391
Organization SubpartYesParent: Iu Radiology Associates
Authorized OfficialRandall J LuckeySecretary, Treasurer · (317) 472-4565
Enumeration DateDecember 17, 2012
Last NPPES UpdateJune 5, 2013
✔ NPI 1376889568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers
Taxonomy Code1223X0008X
License✔ Licensed in IN · 12010577
Definition

The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 12010577 (IN)
250 N SHADELAND AVE, Indianapolis, IN 46219
Open in Google Maps ↗

Other Identifiers 2

Medicaid201129790IN
Medicare PIN959090IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MOHCI URGENT CARE LLC
Family Medicine
250 N SHADELAND AVE, SUITE 200
INDIANAPOLIS, IN 46219
Marion County (317) 962-4836
SAMUEL J FLANDERS M.D.
Pediatrics
250 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46219
Marion County (317) 962-4836
ROBYN RENEE HALL NP
Nurse Practitioner (Neonatal, Critical Care)
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219
Marion County (317) 948-9174
BURGUNDY SHAREE STANLEY M.D.
Emergency Medicine
250 N SHADELAND AVE, SUITE 130
INDIANAPOLIS, IN 46219
Marion County (317) 963-2514

Frequently Asked Questions

What is INDIANA UNIVERSITY RADIOLOGY ASSOCIATES INC's NPI number?

The NPI number assigned to this healthcare provider is 1376889568, enumerated as an "organization" on December 17, 2012.

Where is the provider located?

The provider is located at 250 N SHADELAND AVE STE 200 INDIANAPOLIS, IN 46219 and the phone number is (317) 962-4836.

What is the provider's specialty?

Dentist with taxonomy code 1223X0008X and a focus in Oral and Maxillofacial Radiology.

What insurance does INDIANA UNIVERSITY RADIOLOGY ASSOCIATES INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.