NPIMap

Organization Active NPI

Laboratory Services of Indiana

  • Clinical Medical Laboratory
  • Evansville, IN
National Provider Identifier
1497700967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORY SERVICES OF INDIANA
Practice address
955 S Hebron Ave
Suite C
Evansville, IN 47714-4085
Phone
(812) 477-3977
Fax
(812) 477-4506
NPI assigned
May 23, 2006
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
Mrs. Sherri Mowery, MT(ASCP)
Title
Laboratory Manager
Phone
(812) 477-3977

Specialties & licenses 1

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

Addresses

Primary practice location

955 S Hebron Ave
Suite C
Evansville, IN 47714-4085

Mailing address

955 S Hebron Ave
Suite C
Evansville, IN 47714-4085
Phone (812) 477-3977

Other identifiers 1

IdentifierTypeStateIssuer
000000222914OtherINANTHEM BCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497700967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S HEBRON AVE",
            "address_2": "SUITE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144085",
            "telephone_number": "812-477-3977",
            "fax_number": "812-477-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S HEBRON AVE",
            "address_2": "SUITE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477144085",
            "telephone_number": "812-477-3977",
            "fax_number": "812-477-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY SERVICES OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOWERY",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "LABORATORY MANAGER",
        "authorized_official_telephone_number": "812-477-3977",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000222914",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, 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.