Organization Active NPI

Skyline Lab

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1023961356
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SKYLINE LAB
Practice address
2506 E Washington St Ste 101
Indianapolis, IN 46201-4126
Phone
(718) 666-0540
NPI assigned
Feb 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Muhammad Z Nasim
Title
Owner
Phone
(718) 666-0540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2506 E Washington St Ste 101
Indianapolis, IN 46201-4126

Mailing address

20 Charlton Ave
Piscataway, NJ 08854-5212

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2340052Skyline Lab LLC2506 E Washington Street Suite 101, Indianapolis, IN 46201Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

Locations

2506 E Washington St
Ste 101
Indianapolis, IN 46201
Phone (718) 666-0540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1023961356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CHARLTON AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 E WASHINGTON ST STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462014126",
            "telephone_number": "718-666-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "NASIM",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-666-0540"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.