NPIMap

Organization Active NPI

Reid Physician Associates Inc

Doing business as Reid Health Laboratory - Connersville

  • Clinical Medical Laboratory
  • Connersville, IN
National Provider Identifier
1194207316
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REID PHYSICIAN ASSOCIATES INC
Doing business as
Reid Health Laboratory - Connersville
Practice address
1475 E State Road 44 Ste 4
Connersville, IN 47331-8383
Phone
(765) 827-1946
Fax
(765) 827-5692
NPI assigned
Sep 4, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Misty Nash
Title
Director
Phone
(765) 983-3127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1475 E State Road 44 Ste 4
Connersville, IN 47331-8383

Mailing address

1100 Reid Pkwy
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 983-3127

Other names 1

  • Reid Health Laboratory - Connersville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181226001185 IN Part B Supplier - Independent Clinical Laboratory 6406910769 Practice locations: Connersville, IN

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0984905Reid Health Urgent Care - Connersville1475 E State Road 44, Suite 2, Connersville, IN 47331Certificate of waiverFeb 15, 2028
15D2012483Reid Health Specialty Care - Connersville1475 E State Road 44, Connersville, IN 47331Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Reid Physician Assoc Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reid Primary & Specialty Care - Cambridge CityCambridge City, IN, CCN 153896 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 28, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1194207316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3127",
            "fax_number": "765-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 E STATE ROAD 44 STE 4",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318383",
            "telephone_number": "765-827-1946",
            "fax_number": "765-827-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID PHYSICIAN ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-983-3127"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reid Health Laboratory - Connersville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

Verify at the official NPI Registry.