EAST CENTRAL INDIANA VASCULAR LAB LLC (NPI# 1245252592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245252592 |
| Entity Type | Organization |
| Organization Name | EAST CENTRAL INDIANA VASCULAR LAB LLC |
| Practice Address |
1812 W Royale Dr Muncie IN 47304-2243 |
| Practice Telephone | 7652847703 |
| Practice Fax Number | 7652846838 |
| Mailing Telephone | 7652847703 |
| Mailing Fax Number | 7652846838 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-06-11 |
| Authorized Official Name | DR. JOHN ELIADES (DIRECTOR) |
| Authorized Official Telephone | 7652847703 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | ========= | IN | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201040080 | 05 |
| Street Address |
1812 W ROYALE DR |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508831538 | Patrick A Cleary | Surgery | 1812 W Royale Dr, Muncie, IN 47304-2243 | 2006-02-22 |
| 1235336793 | David Anthony Cadogan | Surgery | 1812 W Royale Dr, Muncie, IN 47304-2243 | 2007-06-28 |
| 1649292806 | Associates In Surgery of Muncie | Surgery | 1812 W Royale Dr, Muncie, IN 47304-2243 | 2006-07-24 |
| 1376519173 | Alex M Cocco | Surgery | 1812 W Royale Dr, Muncie, IN 47304-2243 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508192741 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2525 W University Ave, Ste 300, Muncie, IN 47303-3421 | 2009-10-22 |
| 1295069276 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 800 S Tillotson Ave, Muncie, IN 47304-4529 | 2009-09-24 |
| 1891925707 | Esoterix, Inc. | Clinical Medical Laboratory | 1200 W White River Blvd, Muncie, IN 47303-4988 | 2009-07-27 |
| 1841474426 | Pa Labs Inc | Clinical Medical Laboratory | 2525 W University Ave, Suite 300, Muncie, IN 47303-3421 | 2007-12-19 |
| 1548459407 | Pa Labs Inc | Clinical Medical Laboratory | 2401 W University Ave, Muncie, IN 47303-3428 | 2007-10-17 |
| 1366484545 | Pa Labs, LLC | Clinical Medical Laboratory | 2401 W University Ave, Muncie, IN 47303-3428 | 2006-06-12 |
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| 1770195067 | Reid Physician Associates Inc | Clinical Medical Laboratory | 1154 S State Road 1 Ste 3, Cambridge City, IN 47327-9513 | 2020-08-19 |
| 1801418751 | Labcorp Indiana Inc | Clinical Medical Laboratory | 530 N Lafayette Blvd Fl 1, South Bend, IN 46601-1004 | 2020-05-14 |
| 1457996522 | Heritage Laboratory Inc | Clinical Medical Laboratory | 7895 Broadway Ste V1, Merrillville, IN 46410-5529 | 2019-11-13 |
| 1538719810 | Labcorp Indiana Inc | Clinical Medical Laboratory | 5340 Holy Cross Pkwy Ste 206, Mishawaka, IN 46545-1470 | 2019-09-18 |
| 1568012540 | Labcorp Indiana Inc | Clinical Medical Laboratory | 125 St Liam Hall, Notre Dame, IN 46556-5693 | 2019-09-12 |
| 1013567098 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1320 S Wisconsin St, Hobart, IN 46342-5502 | 2019-09-12 |
| 1609426667 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1506 Osolo Rd Ste A, Elkhart, IN 46514-4122 | 2019-09-12 |
| 1659921617 | Labcorp Indiana Inc | Clinical Medical Laboratory | 611 E Douglas Rd Ste 300, Mishawaka, IN 46545-1467 | 2019-09-12 |
| 1518516533 | Labcorp Indiana Inc | Clinical Medical Laboratory | 530 N Lafayette Blvd Fl 2, South Bend, IN 46601-1004 | 2019-09-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.