Minuteclinic Diagnostics of Indiana, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINUTECLINIC DIAGNOSTICS OF INDIANA, LLC

Practice address

1466 W Oak St
Zionsville, IN 46077-1800

Phone

(855) 417-2486

NPI assigned

May 16, 2024

Last updated

May 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Pincince

Title

Administrator

Phone

(401) 770-3813

Specialties & licenses 3

Addresses

Tax ID family

Minuteclinic Diagnostics of Indiana LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Minuteclinic Diagnostics of Indiana, LLC

  • Family Nurse Practitioner
  • Zionsville, IN
  • NPI 1396484002
  NPD tax ID
• Minuteclinic Diagnostics of Indiana, LLC

  • Family Nurse Practitioner
  • Zionsville, IN
  • NPI 1932171634
  NPD tax ID

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1366291932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "address_2": "MC-2295",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028950784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 W OAK ST",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771800",
            "telephone_number": "855-417-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTECLINIC DIAGNOSTICS OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Dental Specialists, LLC
• Jose Miles Jr
• Milestone Pediatric Therapy
• Lydia S Miller, LCSW
• Delma M Mindel, LMHC
• Minuteclinic Diagnostics of Indiana, LLC
• Minuteclinic Diagnostics of Indiana, LLC
• Minuteclinic Primary Care Indiana PLLC
• Miriam Carmean DDS LLC (Carmean Family Dentistry)
• Alicia Lauren Mitchell

• Clinical Social Worker in Zionsville, IN
• Providers in Zionsville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.