Provider Demographics
NPI:1598915324
Name:INDIANA STS SERVICES INC
Entity Type:Organization
Organization Name:INDIANA STS SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CASTRO RODON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-614-0929
Mailing Address - Street 1:7002 GRAHAM RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-4057
Mailing Address - Country:US
Mailing Address - Phone:317-614-0929
Mailing Address - Fax:317-245-9340
Practice Address - Street 1:7002 GRAHAM RD
Practice Address - Street 2:SUITE 103
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-4057
Practice Address - Country:US
Practice Address - Phone:317-614-0929
Practice Address - Fax:317-245-9340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies