Provider Demographics
NPI:1639659832
Name:INDIGO 6 LLC
Entity Type:Organization
Organization Name:INDIGO 6 LLC
Other - Org Name:VOLONTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-340-3805
Mailing Address - Street 1:2901 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-2065
Mailing Address - Country:US
Mailing Address - Phone:812-336-7246
Mailing Address - Fax:812-287-8053
Practice Address - Street 1:2901 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-2065
Practice Address - Country:US
Practice Address - Phone:812-336-7246
Practice Address - Fax:812-287-8053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty