LABCORP INDIANA INC (NPI# 1396394300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396394300 |
| Entity Type | Organization |
| Organization Name | LABCORP INDIANA INC |
| Practice Address |
1101 Michigan Ave Logansport IN 46947-1528 |
| Mailing Address |
231 Maple Ave Burlington NC 27215-5848 |
| Practice Telephone | 5744138044 |
| Practice Fax Number | 5747531431 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-10-14 |
| Authorized Official Name | KIMBERLY T WILLIAMS (VICE PRESIDENT) |
| Authorized Official Telephone | 8002227566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 15D2171147 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418751 | Labcorp Indiana Inc | Clinical Medical Laboratory | 530 N Lafayette Blvd Fl 1, South Bend, IN 46601-1004 | 2020-05-14 |
| 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 |
| 1629628904 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1025 Michigan Ave, Logansport, IN 46947-1593 | 2019-09-18 |
| 1023668423 | Labcorp Indiana Inc | Clinical Medical Laboratory | 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1414 | 2019-09-17 |
| 1427608496 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1205 S Main St Ste 301, Crown Point, IN 46307-3677 | 2019-09-12 |
| Street Address |
1101 MICHIGAN AVE |
| City | LOGANSPORT |
| State | IN |
| Zip Code | 46947-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885274 | Rose M Ewing | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2005-07-18 |
| 1053918409 | Jill Yager | Physician Assistant | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-10-07 |
| 1093320038 | Jennifer Hager | Nurse Anesthetist, Certified Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-09-15 |
| 1992313738 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-07-17 |
| 1639704711 | Norma Fielding | Dietitian, Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-03-09 |
| 1699315648 | Rachel Leann Tiefel | Nurse Practitioner | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-01-07 |
| 1558904441 | Matthew Miller | Nurse Anesthetist, Certified Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-10-23 |
| 1124585351 | Marcia K Nagle | Dietitian, Registered | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2019-02-24 |
| 1679059729 | Sydney Rae Sims | Specialist/Technologist | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2018-07-12 |
| 1093209041 | Courtney Nicole Schroeder | Emergency Medicine | 1101 Michigan Ave, Logansport, IN 46947 | 2018-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1023564259 | Wecare Tlc - Lcsc Health and Wellness | Clinic/Center | 2500 Hopper Street, Door C-13, Logansport, IN 46947 | 2016-08-28 |
| 1801266283 | Cheryl Lynn Ulery | Occupational Therapy Assistant | 5105 Northcrest Drive, Logansport, IN 46947 | 2015-09-29 |
| 1346618691 | Jan Hoover | Nurse Practitioner | 1025 Michigan Ave Ste 125, Logansport, IN 46947 | 2015-09-03 |
| 1922431741 | Ourhealth Physician Group, LLC | Clinic/Center | 99 E. Dewey St., Logansport, IN 46947 | 2013-08-15 |
| 1215245816 | Wal-mart Stores East Lp | Technician/Technologist | 240 Mall Road, Logansport, IN 46947 | 2010-09-16 |
| 1770778359 | Assisted Living Concepts Inc | Assisted Living Facility | 3901 High Street Road, Logansport, IN 46947 | 2007-09-07 |
| 1417152943 | Mary A Deinnocentes | Audiologist | 1325 N. 200 E., Logansport, IN 46947 | 2007-06-15 |
| 1396965018 | Elizabeth Dockerty Smith | Dentist | 335 Mall Road, Logansport, IN 46947 | 2007-04-26 |
| 1659599686 | Donna Beck Hermance | Physical Therapist | Northcentral Indiana Sports Center, 1603 Chase Road, Logansport, IN 46947 | 2007-04-23 |
| Find all providers in zip 46947 | ||||
| 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 |
|---|---|---|---|---|
| 1154326668 | Twin Rivers Medical Laboratory, Inc | Clinical Medical Laboratory | 902 W. Broadway, Logansport, IN 46947-2978 | 2005-06-21 |
| 1992313738 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1101 Michigan Ave, Logansport, IN 46947-1528 | 2020-07-17 |
| 1558989764 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1025 Michigan Ave, Logansport, IN 46947-1593 | 2020-07-14 |
| 1629628904 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1025 Michigan Ave, Logansport, IN 46947-1593 | 2019-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
| City | LOGANSPORT |
| Zip Code | 46947 |
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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.