Organization Active NPI

Regional Lab Services

  • Clinical Medical Laboratory
  • Evansville, IN
National Provider Identifier
1194060244
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REGIONAL LAB SERVICES
Practice address
955 S Hebron Ave
Suite C
Evansville, IN 47714-4085
Phone
(812) 477-3977
Fax
(812) 477-4506
NPI assigned
Nov 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Lea R Ellis
Title
Business Office Manager
Phone
(812) 477-3977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

955 S Hebron Ave
Suite C
Evansville, IN 47714-4085

Mailing address

955 S Hebron Ave
Suite C
Evansville, IN 47714-4085
Phone (812) 477-3977

Other names 1

  • Lab Services Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1194060244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S HEBRON AVE",
            "address_2": "SUITE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144085",
            "telephone_number": "812-477-3977",
            "fax_number": "812-477-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S HEBRON AVE",
            "address_2": "SUITE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144085",
            "telephone_number": "812-477-3977",
            "fax_number": "812-477-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "812-477-3977"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lab Services Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.