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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: August 16, 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.

SAMUEL J FLANDERS M.D.
Pediatrics
250 N SHADELAND AVE, STE 200
INDIANAPOLIS, IN 46219
Marion County (317) 962-4836
BURGUNDY SHAREE STANLEY M.D.
Emergency Medicine
250 N SHADELAND AVE, SUITE 130
INDIANAPOLIS, IN 46219
Marion County (317) 963-2514
MOHCI URGENT CARE LLC
Family Medicine
250 N SHADELAND AVE, SUITE 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

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 Indiana University Radiology Associates Inc's NPI number?

The NPI number for Indiana University Radiology Associates Inc is 1376889568. It was assigned to this organization in the NPPES registry on December 17, 2012.

Where is Indiana University Radiology Associates Inc located?

Indiana University Radiology Associates Inc is located at 250 N Shadeland Ave Ste 200, Indianapolis, IN 46219. The listed phone number is (317) 962-4836.

What is Indiana University Radiology Associates Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

When was this NPI record last updated?

The NPPES record for Indiana University Radiology Associates Inc was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.