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Deactivated NPI 1801568886 Deactivated / Inactive NPI Female Practitioner

Lisa Gayle Soultz , RADIOLOGIC TECH

Radiologic Technologist - Computed Tomography • Indianapolis, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Soultz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2021
NPI Deactivation Date March 20, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Lisa Soultz, RADIOLOGIC TECH was a registered Radiologic Technologist - Computed Tomography practicing in Indianapolis, IN. Throughout an active medical career spanning 3 years, Lisa Soultz provided care at the practice location at 5322 LITTLE CREEK CT APT B until profile deactivation on 2024-03-20.

Practice Location & Contact Primary Location

Practice Address

5322 Little Creek Ct Apt B

Indianapolis, IN 462541359

Telephone 3174904340

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist - Computed Tomography in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Indianapolis, IN (2 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Radiologic Technologist - Computed Tomography Primary Specialty

NUCC Taxonomy Code: 2471C3401X

State License IN XT007212

A radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam techniques, equipment protocols, radiation safety, and patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

NPI Profile Active September 29, 2021

NPI status registered as active in NPPES database

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Updated Practice Location September 29, 2021

Registered at 5322 LITTLE CREEK CT APT B, INDIANAPOLIS, IN 462541359 (Tel: 3174904340)

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Updated Business Mailing Address September 29, 2021

Registered at 5322 LITTLE CREEK CT APT B, INDIANAPOLIS, IN 462541359

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Provider Name / Credentials Updated September 29, 2021

Recorded as LISA SOULTZ, RADIOLOGIC TECH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2021

Radiologic Technologist (License #XT007212 in IN)

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Initial NPI Registration & Enumeration September 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801568886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2021
Last Update: September 29, 2021
Deactivation Date: March 20, 2024

Mailing Address

5322 Little Creek Ct Apt B

Indianapolis, IN 462541359

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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