Reid Physician Associates, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

REID PHYSICIAN ASSOCIATES, INC.

Doing business as

Reid Health Lab - 1200 Chester Blvd.

Practice address

1200 Chester Blvd
Richmond, IN 47374-1905

Phone

(765) 935-8458

Fax

(765) 935-8459

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Misty Nash

Title

Director

Phone

(765) 983-3127

Specialties & licenses 1

Addresses

Other names 1

• Reid Health Lab - 1200 Chester Blvd. Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Reid Physician Associates, Inc

  • Clinical Medical Laboratory
  • Richmond, IN
  • NPI 1932520921

  O20181115001531

  Same enrollment

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1083206841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-935-8458",
            "fax_number": "765-935-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741905",
            "telephone_number": "765-935-8458",
            "fax_number": "765-935-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID PHYSICIAN ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-983-3127"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reid Health Lab - 1200 Chester Blvd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reid Physician Associates, Inc
• Reid Physician Associates, Inc
• Reid Physician Associates, Inc
• Reid Physician Associates, Inc
• Reid Physician Associates, Inc
• Reid Physician Associates, Inc.
• Reid Physician Associates, Inc.
• Reid Physician Associates, Inc.
• Reid Physician Associates, Inc.
• Reid Physician Associates, Inc.

• Clinical Medical Laboratory in Richmond, IN
• Providers in Richmond, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.