Active NPI
DCL Medical Laboratories LLC
- Clinical Medical Laboratory
- Indianapolis, IN
National Provider Identifier
1194840595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- DCL MEDICAL LABORATORIES LLC
- Practice address
- 9550 Zionsville Rd
Indianapolis, IN 46268-1065 - Phone
- (800) 377-9364
- NPI assigned
- Mar 21, 2007
- Last updated
- Nov 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Williams
- Title
- VP
- Phone
- (317) 874-1297
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | ||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | NU |
Addresses
Primary practice location
9550 Zionsville Rd
Indianapolis, IN 46268-1065
Mailing address
9550 Zionsville Rd
Indianapolis, IN 46268-1065
Phone (800) 377-9364
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG7215 | Other | IN | RAILROAD MEDICARE |
| P00466399 | Other | IL | RAILROAD MEDICARE |
| 200405290A | Medicaid | IN | |
| DG6017 | Other | IL | RAILROAD MEDICARE |
| 200884260A | Medicaid | IN | |
| CF9854 | Other | RAILROAD MEDICARE | |
| 08222860 | Other | IL | BCBS IL |
| 000000550555 | Other | IN | ANTHEM BCBS |
| P00443907 | Other | IN | RAILROAD MEDICARE |
| 06032266 | Other | IL | BCBS IL |
| CB9306 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
525 W Main St
Ste 125
Belleville, IL 62220
Phone (618) 222-1759
1520 Momentum Pl
Chicago, IL 60689
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Indianapolis, IN
- NPI 1225138704
-
- Anatomic Pathology & Clinical Pathology Physician
- Carmel, IN
- NPI 1114020567
-
- Cytopathology Physician
- Terre Haute, IN
- NPI 1922118900
-
- Emergency Medicine Physician
- Anderson, IN
- NPI 1114922929
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Collinsville, IL
- NPI 1497858831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385424000000",
"number": "1194840595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9550 ZIONSVILLE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462681065",
"telephone_number": "800-377-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9550 ZIONSVILLE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462681065",
"telephone_number": "800-377-9364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DCL MEDICAL LABORATORIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2013-11-26",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "317-874-1297"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG7215",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00466399",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200405290A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG6017",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200884260A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CF9854",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL",
"identifier": "08222860",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000550555",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00443907",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL",
"identifier": "06032266",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CB9306",
"state": null
}
],
"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 Nov 26, 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.