Healthcare Provider Details

I. General information

NPI: 1750134896
Provider Name (Legal Business Name): ZIRMENLOGISTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 BASH ST STE C6
INDIANAPOLIS IN
46250-1938
US

IV. Provider business mailing address

8250 BASH ST STE C6
INDIANAPOLIS IN
46250-1938
US

V. Phone/Fax

Practice location:
  • Phone: 833-947-6365
  • Fax: 833-947-6365
Mailing address:
  • Phone: 833-947-6365
  • Fax: 833-947-6365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE WINSTEAD
Title or Position: LAB DIRECTOR
Credential:
Phone: 833-947-6365