Promax Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

01041458 Issued in IN

Legal business name

PROMAX LABORATORY

Practice address

4727 Rosebud LN
Interstate Office Park
Newburgh, IN 47630-9367

Phone

(812) 429-0772

Fax

(812) 429-0793

NPI assigned

Nov 21, 2007

Organization subpart

Yes

Parent organization

CADY WELLNESS INSTITUTEAs reported in NPPES

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

Authorized official

Name

Dr. Louis B Cady, MD

Title

Owner/President

Phone

(812) 429-0772

Specialties & licenses 1

Addresses

Part of

Promax Laboratory

Locations

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1083895783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 ROSEBUD LN",
            "address_2": "INTERSTATE OFFICE PARK",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309367",
            "telephone_number": "812-429-0772",
            "fax_number": "812-429-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 ROSEBUD LN",
            "address_2": "INTERSTATE OFFICE PARK",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309367",
            "telephone_number": "812-429-0772",
            "fax_number": "812-429-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMAX LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CADY WELLNESS INSTITUTE",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "CADY",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "812-429-0772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "01041458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Newburgh, IN
• Providers in Newburgh, 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 Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.