Firstsource Laboratory Solutions, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FIRSTSOURCE LABORATORY SOLUTIONS, INC

Practice address

10022 Lantern Rd Ste 600
Ste 600
Fishers, IN 46037-9602

Phone

(317) 566-9846

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. William B Hayes

Title

Cfo Evp Treasurer

Phone

(317) 566-9846

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1508173469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2240",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162240",
            "telephone_number": "800-222-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10022 LANTERN RD STE 600",
            "address_2": "STE 600",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379602",
            "telephone_number": "317-566-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSOURCE LABORATORY SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO EVP TREASURER",
        "authorized_official_telephone_number": "317-566-9846",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "15D1031494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiley Fields
• Brendan Matthew Finley, OD
• Carissa Leann Firmand, NP
• First Impressions Optometric Associates, LLC
• Firstaround Consulting LLC
• Firstsource Laboratory Solutions, Inc.
• Lorna Fischer
• Courtney Fisher
• Fishers Ambulatory Surgery Center, LLC
• Fishers Care LLC

• Clinical Medical Laboratory in Fishers, IN
• Providers in Fishers, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.