Indiana Fertility Providers, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INDIANA FERTILITY PROVIDERS, LLC

Practice address

12188-A North Meridian Street, Suite 250
Carmel, IN 46032

Phone

(818) 858-1080

Fax

(317) 571-2238

NPI assigned

Jun 13, 2018

Organization subpart

Yes

Parent organization

FPG LABS LLCAs reported in NPPES

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

Authorized official

Name

Goldie Gupta

Title

Cfo

Phone

(630) 536-7738

Specialties & licenses 1

Addresses

Other names 1

• Ovation Fertility Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631404800000",
    "number": "1154814283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15821 VENTURA BLVD, SUITE 625",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "317-571-1637",
            "fax_number": "317-571-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12188-A NORTH MERIDIAN STREET, SUITE 250",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "818-858-1080",
            "fax_number": "317-571-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA FERTILITY PROVIDERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FPG LABS LLC",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "GOLDIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-536-7738"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ovation Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Carmel, IN
• Providers in Carmel, 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 Sep 12, 2021; 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.