Active NPI
Lucidus Diagnostics LLC
- Anatomic Pathology & Clinical Pathology Physician
- Terre Haute, IN
National Provider Identifier
1083244941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- LUCIDUS DIAGNOSTICS LLC
- Practice address
- 3901 S 7TH St
Terre Haute, IN 47802-5709 - Phone
- (812) 232-0021
- NPI assigned
- Jan 20, 2020
- Last updated
- Jan 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Tobias
- Title
- MD
- Phone
- (800) 288-8325
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | Primary |
Addresses
Primary practice location
3901 S 7TH St
Terre Haute, IN 47802-5709
Mailing address
2139 Auburn Ave
Cincinnati, OH 45219-2906
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Cincinnati, OH
- NPI 1841394301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579478400000",
"number": "1083244941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 AUBURN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 S 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478025709",
"telephone_number": "812-232-0021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCIDUS DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-20",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A",
"authorized_official_last_name": "TOBIAS",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "800-288-8325"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.