Organization Active NPI

Saint Joseph Regional Medical Center - Plymouth Campus Inc

Doing business as Saint Joseph Health System Outpatient and Reference Laboratory Plymouth

  • Clinical Medical Laboratory
  • Plymouth, IN
National Provider Identifier
1073437109
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
Doing business as
Saint Joseph Health System Outpatient and Reference Laboratory Plymouth
Practice address
1915 Lake Ave Ste 230
Plymouth, IN 46563-9366
Phone
(574) 948-4344
NPI assigned
Aug 10, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Christopher Karam
Title
President
Phone
(575) 335-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1915 Lake Ave Ste 230
Plymouth, IN 46563-9366

Mailing address

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-8707

Other names 1

  • Saint Joseph Health System Outpatient and Reference Laboratory Plymouth Doing business as

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
15D0356937Saint Joseph Regional Medical Center - Plymouth1915 Lake Avenue, Plymouth, IN 46563AccreditationJan 2, 2027
15D1049342SBMF/Sjrmc at Plymouth Lab1915 Lake Avenue, Plymouth, IN 46563AccreditationOct 29, 2026

National Provider Directory

National Provider Directory
Tax ID family
Saint Josephs Hosp of M3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1915 Lake Ave
Ste 230
Plymouth, IN 46563

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1073437109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 HOLY CROSS PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451469",
            "telephone_number": "574-335-8707",
            "fax_number": "574-335-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 LAKE AVE STE 230",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465639366",
            "telephone_number": "574-948-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "KARAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-335-5000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Joseph Health System Outpatient and Reference Laboratory Plymouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.