Provider Demographics
NPI:1609114693
Name:ARTEMIS INDIANAPOLIS LLC
Entity Type:Organization
Organization Name:ARTEMIS INDIANAPOLIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING CONTACT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:O'SHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-793-8346
Mailing Address - Street 1:6108 PARKCENTER CIR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3583
Mailing Address - Country:US
Mailing Address - Phone:614-793-8346
Mailing Address - Fax:614-793-8349
Practice Address - Street 1:14555 HAZEL DELL PKWY
Practice Address - Street 2:SUITE 130B
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-7000
Practice Address - Country:US
Practice Address - Phone:317-580-0840
Practice Address - Fax:317-580-0845
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARTEMIS INTERNATIONAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty