Healthcare Provider Details

I. General information

NPI: 1083880447
Provider Name (Legal Business Name): BIOTEL INR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9115 HAGUE RD STE 100
INDIANAPOLIS IN
46256-1025
US

IV. Provider business mailing address

1000 CEDAR HOLLOW RD STE 102
MALVERN PA
19355-2300
US

V. Phone/Fax

Practice location:
  • Phone: 317-521-2000
  • Fax:
Mailing address:
  • Phone: 610-729-5066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number0105509540
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0105509540
License Number StateIN

VIII. Authorized Official

Name: THOMAS MCNAMARA
Title or Position: VICE PRESIDENT
Credential:
Phone: 610-729-0504