Gulfport Testing

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

01037152A Issued in IN

Legal business name

GULFPORT TESTING

Practice address

2425 N Meridian St
Indianapolis, IN 46208-5820

Phone

(818) 235-9054

NPI assigned

Jan 29, 2009

Organization subpart

No

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

Authorized official

Name

Janice K Fitzharris, M.D.

Title

President/Ceo

Phone

(818) 235-9054

Specialties & licenses 1

Addresses

Tax ID family

Gulfport Testing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Gulfport Testing

  • Clinical Medical Laboratory
  • Northridge, CA
  • NPI 1922331347
  NPD tax ID

Locations

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1356589220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462085820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 N MERIDIAN ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462085820",
            "telephone_number": "818-235-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFPORT TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "FITZHARRIS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-235-9054",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01037152A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varun Gulati, DO
• Tari Gulbrandsen, RD
• Laura Gulden, PHARMD
• Troy Jamison Gulden, PHARM. D.
• Alayna Ruth Guldi, RBT
• Chad Gullett
• Christina Jean Gullett, FNP
• Abigail Gulley
• Kaeli Gulley
• Amber N Gullion, NP

• Anatomic Pathology & Clinical Pathology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.