Organization Active NPI

Assurance Lab Tests

  • Clinical Laboratory Director (Non-physician)
  • Indianapolis, IN
National Provider Identifier
1417601204
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Legal business name
ASSURANCE LAB TESTS
Practice address
3361 N Pennsylvania St
Indianapolis, IN 46205-3415
Phone
(888) 948-1335
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Shannon Harrell
Title
Director
Phone
(888) 948-1335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician)Group: 193400000X SINGLE SPECIALTY GROUP 247ZC0005X Primary

Addresses

Primary practice location

3361 N Pennsylvania St
Indianapolis, IN 46205-3415

Mailing address

4961 Seville Dr
Indianapolis, IN 46228-2176
Phone (317) 332-8763

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon@assurancelabtests.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1417601204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 SEVILLE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462282176",
            "telephone_number": "317-332-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 N PENNSYLVANIA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462053415",
            "telephone_number": "888-948-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE LAB TESTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-948-1335"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@assurancelabtests.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3361 N Pennsylvania St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462053415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.