INTEGRATED DIAGNOSTIC LABORATORY, LLC (NPI# 1699743369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699743369 |
| Entity Type | Organization |
| Organization Name | INTEGRATED DIAGNOSTIC LABORATORY, LLC |
| Other Organization Name | INTEGRATED DIAGNOSTIC LAB |
| Practice Address |
600 Mary Street Evansville IN 47747-0001 |
| Mailing Address |
Po Box 3024 Evansville IN 47730-3024 |
| Practice Telephone | 8124505000 |
| Mailing Telephone | 8004672392 |
| Mailing Fax Number | 8124716650 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HENRY BOCKELMAN (PRESIDENT) |
| Authorized Official Telephone | 8124505000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Integrated Diagnostic Lab | Doing Business As Name - Organization |
| Street Address |
600 MARY STREET |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47747-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417507 | Henry W Bockelman | Pathology | 600 Mary Street, Evansville, IN 47747-0001 | 2005-09-13 |
| 1205465580 | Kristen Raie Long | Physician Assistant | 600 Mary Street, Evansville, IN 47747-8017 | 2020-04-07 |
| 1588202097 | Healthcare Resource Solutions, LLC | General Acute Care Hospital | 600 Mary Street, Evansville, IN 47710-1658 | 2019-12-16 |
| 1336618479 | Christopher R Thomas | Nurse Anesthetist, Certified Registered | 600 Mary Street, Evansville, IN 47747-0001 | 2018-11-19 |
| 1790270429 | Aaron M Quach | Nurse Anesthetist, Certified Registered | 600 Mary Street, Evansville, IN 47747 | 2018-06-26 |
| 1255823399 | Kendra R Streicher | Physician Assistant | 600 Mary Street, Evansville, IN 47747 | 2018-06-05 |
| 1720578404 | James F Stowers IIi | Nurse Practitioner | 600 Mary Street, Evansville, IN 47747-0001 | 2018-05-17 |
| 1184146078 | William Matthew Walker | Family Medicine | 600 Mary Street, Evansville, IN 47747-0001 | 2017-07-12 |
| 1154842029 | Adriano Michael Duran | Hospitalist | 600 Mary Street, Evansville, IN 47747-9321 | 2017-06-30 |
| 1881129286 | Joel M Phelps | Family Medicine | 600 Mary Street, Evansville, IN 47747-0001 | 2017-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528289717 | Mark Wilkin Porter | Perfusionist | 600 Mary St, Evansville, IN 47747 | 2007-05-02 |
| 1306009253 | Joshua Neal Kindrat | Emergency Medicine | Deaconess Hospital Emergency Department, 600 Mary Street, Evansville, IN 47747-0001 | 2008-07-09 |
| 1104832658 | Michael S Davis | Emergency Medicine | Deaconess Hospital, 600 Mary St., Evansville, IN 47747-0001 | 2006-08-01 |
| 1982607131 | Nirmal Joshi | Anesthesiology | 600 Mary St, Evansville, IN 47747-0001 | 2005-05-23 |
| 1871094540 | Deaconess Specialty Physicians, Inc | Internal Medicine | 600 Mary St, Evansville, IN 47747-0001 | 2018-02-27 |
| 1851780191 | Shannon J Onstott | Nurse Practitioner | 600 Mary St, Evansville, IN 47747-0001 | 2015-01-09 |
| 1083970016 | Joseph A Mansour | Hospitalist | 600 Mary St, Evansville, IN 47747-0001 | 2012-04-04 |
| 1194092668 | Christina N Bennett | Internal Medicine | 600 Mary St, Evansville, IN 47747-0001 | 2011-11-28 |
| 1386920551 | Jessica Lyn Jones | Nurse Practitioner | 600 Mary St, Evansville, IN 47747-0001 | 2011-11-01 |
| 1730412826 | Ramin Rashidian | Hospitalist | 600 Mary St, Evansville, IN 47747-0001 | 2009-09-08 |
| Find all providers in zip 47747 | ||||
| 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 |
|---|---|---|---|---|
| 1619220118 | Digestive Care of Evansville, PC | Clinical Medical Laboratory | 801 Saint Marys Dr Ste 310w, Evansville, IN 47714-0512 | 2012-10-22 |
| 1811016231 | Advanced Reproduction Institute L.L.C. | Clinical Medical Laboratory | 1222 Professional Blvd, Evansville, IN 47714-8002 | 2007-03-28 |
| 1497700967 | Laboratory Services of Indiana | Clinical Medical Laboratory | 955 S Hebron Ave, Suite C, Evansville, IN 47714-4085 | 2006-05-23 |
| 1124486402 | Satya Labs LLC | Clinical Medical Laboratory | 1101 Professional Blvd, Ste. 210 B, Evansville, IN 47714-8016 | 2016-02-02 |
| 1831502129 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 3700 Washington Ave, Evansville, IN 47714-0542 | 2014-06-04 |
| 1194060244 | Regional Lab Services | Clinical Medical Laboratory | 955 S Hebron Ave, Suite C, Evansville, IN 47714-4085 | 2012-11-30 |
| 1437412038 | Advanced Pain Care Clinic | Clinical Medical Laboratory | 1101 Professional Blvd, Suite 210, Evansville, IN 47714-8016 | 2012-06-19 |
| 1861792228 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 6140 E Columbia St, Evansville, IN 47715-9133 | 2010-11-01 |
| 1336320076 | Pa Labs Inc | Clinical Medical Laboratory | 1222 Professional Blvd, Evansville, IN 47714-8002 | 2007-11-23 |
| 1407060650 | St. Mary's Health, Inc. | Clinical Medical Laboratory | 3700 Washington Ave, Evansville, IN 47750-0001 | 2007-05-09 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47747 |
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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.