Active NPI
James Elliott
- Clinical Medical Laboratory
- Fishers, IN
National Provider Identifier
1467866566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 15D2076283
- Practice address
- 7340 Crossing PL
Ste 50
Fishers, IN 46038-2708 - Phone
- (317) 578-8980
- Fax
- (317) 578-8988
- NPI assigned
- Jun 17, 2014
- Last updated
- Nov 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 15D2076283 | IN | Primary |
Addresses
Primary practice location
7340 Crossing PL
Ste 50
Fishers, IN 46038-2708
Mailing address
7340 Crossing PL
Ste 50
Fishers, IN 46038-2708
Phone (317) 578-8980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15D2076283 | IN | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantigen LLC | Clinical Medical Laboratory | Current | Accepting new patients |
Locations
7340 Crossing Pl
Ste 50
Fishers, IN 46038
Phone (317) 578-8980
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1467866566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 CROSSING PL",
"address_2": "STE 50",
"city": "FISHERS",
"state": "IN",
"postal_code": "460382708",
"telephone_number": "317-578-8980",
"fax_number": "317-578-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7340 CROSSING PL",
"address_2": "STE 50",
"city": "FISHERS",
"state": "IN",
"postal_code": "460382708",
"telephone_number": "317-578-8980",
"fax_number": "317-578-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "IN",
"license": "15D2076283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.