NPIMap

Organization Active NPI

Kind Heart Phlebotomy

  • Clinical Medical Laboratory
  • Merrillville, IN
National Provider Identifier
1245763838
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
KIND HEART PHLEBOTOMY
Practice address
1100 E 56TH Ave
Merrillville, IN 46410-1726
Phone
(121) 947-2227
NPI assigned
Apr 10, 2017
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Tysharon McDuffie, PHLEBOTOMIST
Title
Phlebotomist/Owner
Phone
(219) 776-0883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X IN Primary

Addresses

Primary practice location

1100 E 56TH Ave
Merrillville, IN 46410-1726

Mailing address

PO Box 11226
Merrillville, IN 46411
Phone (121) 988-8981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1245763838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11226",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46411",
            "telephone_number": "121-988-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E 56TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101726",
            "telephone_number": "121-947-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND HEART PHLEBOTOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "MCDUFFIE",
        "authorized_official_first_name": "TYSHARON",
        "authorized_official_title_or_position": "PHLEBOTOMIST/OWNER",
        "authorized_official_telephone_number": "219-776-0883",
        "authorized_official_credential": "PHLEBOTOMIST"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.