Organization Active NPI

Proseven Medical LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1134060940
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PROSEVEN MEDICAL LLC
Practice address
5811 Fire Opal Way
Indianapolis, IN 46239-1899
Phone
(307) 622-9550
NPI assigned
Apr 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Mr. Mirza Imran Baig, MD
Title
MD
Phone
(307) 622-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5811 Fire Opal Way
Indianapolis, IN 46239-1899

Mailing address

1099 Mission Hills Dr Apt D
Greenwood, IN 46143-2219
Phone (601) 907-3796

National Provider Directory

National Provider Directory
Tax ID family
Proseven Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1134060940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MISSION HILLS DR APT D",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461432219",
            "telephone_number": "601-907-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 FIRE OPAL WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462391899",
            "telephone_number": "307-622-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSEVEN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_middle_name": "IMRAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "307-622-9550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "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 May 7, 2026; 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.