NPIMap

Organization Active NPI

Gifted Hands Laboratory LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1457120115
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GIFTED HANDS LABORATORY LLC
Practice address
5699 E 71St St Ste 2a
Indianapolis, IN 46220-3950
Phone
(317) 444-1487
Fax
(888) 714-7802
NPI assigned
Dec 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Victoria A Anderson, CCMA
Title
Owner
Phone
(317) 361-6988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5699 E 71St St Ste 2a
Indianapolis, IN 46220-3950

Mailing address

2040 N Luett Ave
Indianapolis, IN 46222-2407
Phone (317) 361-6988

Other names 1

  • Gifted Hands Home Care Service LLC Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2275815Gifted Hands Laboratory LLC5699 E 71St Suite 2-a, Indianapolis, IN 46220Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gifted Hands Home Care8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1457120115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 N LUETT AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222407",
            "telephone_number": "317-361-6988",
            "fax_number": "888-714-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 E 71ST ST STE 2A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203950",
            "telephone_number": "317-444-1487",
            "fax_number": "888-714-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HANDS LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-361-6988",
        "authorized_official_credential": "CCMA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gifted Hands Home Care Service LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 22, 2023; 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.