Organization Active NPI

Alverno Clinical Laboratories, LLC

  • Clinical Medical Laboratory
  • Hammond, IN
National Provider Identifier
1417904285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ALVERNO CLINICAL LABORATORIES, LLC
Practice address
2434 Interstate Plaza Dr
Hammond, IN 46324-3361
Phone
(219) 989-3700
Fax
(219) 989-3900
NPI assigned
May 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cheryl Vance
Title
President / Ceo
Phone
(219) 989-3714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2434 Interstate Plaza Dr
Hammond, IN 46324-3361

Mailing address

2434 Interstate Plaza Dr
Hammond, IN 46324-3361
Phone (219) 989-3700

Other identifiers 1

IdentifierTypeStateIssuer
P00263555OtherMEDICARE RAILROAD PIN

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

38622 Eagle Way
Chicago, IL 60678

333 Dixie Hwy
Chicago Hts, IL 60411
Phone (708) 756-0100

7905 Calumet Ave
Ste 1
Munster, IN 46321
Phone (219) 836-5800

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417904285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 INTERSTATE PLAZA DR",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463243361",
            "telephone_number": "219-989-3700",
            "fax_number": "219-989-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 INTERSTATE PLAZA DR",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463243361",
            "telephone_number": "219-989-3700",
            "fax_number": "219-989-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVERNO CLINICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "219-989-3714"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "P00263555",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.