NPI 1013150762

Ailanto, LLC

Organisation Specialist Indianapolis, IN

Practice location

Address: 3003 E 98th St Suite 261, Indianapolis, IN 46280-1998
Phone: (866) 315-2787
Fax: (866) 315-7638

Authorised official

Name: Roger Spahr
Title: Director
Phone: (866) 315-2787

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 01033610A (IN)

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Registry record

NPI: 1013150762
Entity type: Organization
NPI issued: 10 Apr 2009
Record last updated: 10 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.