Organization Active NPI

FHS Laboratory, LLC

  • Clinical Medical Laboratory
  • Granger, IN
National Provider Identifier
1417424888
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FHS LABORATORY, LLC
Practice address
6915 N Fir Rd
Granger, IN 46530-4754
Phone
(574) 234-2191
Fax
(574) 234-7720
NPI assigned
Oct 24, 2018
Last updated
Feb 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Amer Kazi, MD
Title
Physician
Phone
(574) 234-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6915 N Fir Rd
Granger, IN 46530-4754

Mailing address

6915 N Fir Rd
Granger, IN 46530-4754
Phone (574) 234-2191

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1417424888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 N FIR RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304754",
            "telephone_number": "574-234-2191",
            "fax_number": "574-234-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 N FIR RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304754",
            "telephone_number": "574-234-2191",
            "fax_number": "574-234-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHS LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "KAZI",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "574-234-2191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.