Organization Active NPI

Axis Forensic Toxicology, Inc.

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1457804197
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
9472384 Issued in IN
Legal business name
AXIS FORENSIC TOXICOLOGY, INC.
Practice address
2265 Executive Dr
Indianapolis, IN 46241-4352
Phone
(317) 759-4869
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Denise Purdie Andrews
Title
VP, Coo
Phone
(317) 759-4869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 9472384 IN Primary

Addresses

Primary practice location

2265 Executive Dr
Indianapolis, IN 46241-4352

Mailing address

PO Box 681513
Indianapolis, IN 46268-7513

National Provider Directory

National Provider Directory

Locations

2265 Executive Dr
Indianapolis, IN 46241
Phone (317) 243-3894

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1457804197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681513",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462687513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 EXECUTIVE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414352",
            "telephone_number": "317-759-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS FORENSIC TOXICOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "PURDIE ANDREWS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VP, COO",
        "authorized_official_telephone_number": "317-759-4869"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "9472384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 29, 2016; 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.