Familiar Faces Clinical Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FAMILIAR FACES CLINICAL LABORATORY

Practice address

2426 55TH PL
Indianapolis, IN 46220-3502

Phone

(463) 221-2605

Fax

(463) 221-2507

NPI assigned

May 26, 2025

Last updated

May 26, 2025By 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

Sasha M Odom, CCMANPI 1699569269

Title

Ceo/Administrator

Phone

(463) 221-2605

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Sasha M Odom

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1699569269

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748217600000",
    "number": "1396538153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 55TH PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203502",
            "telephone_number": "463-221-2605",
            "fax_number": "463-221-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 55TH PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203502",
            "telephone_number": "463-221-2605",
            "fax_number": "463-221-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIAR FACES CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-25",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "SASHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "463-221-2605",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony F Fama, M.D.
• Familia Dental Indianapolis Avondale, LLC (Familia Dental)
• Familia Dental Indianapolis Lafayette, LLC (Familia Dental)
• Familiar Face Services, LLC (Familiar Faces)
• Familiar Faces 2.0
• Families First Indiana, Inc.
• Family 1St Choice Health Care Services LLC
• Family and Community Solutions Inc
• Family Beginnings, PC
• Family Community Connections, Inc

• Clinical Medical Laboratory in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.