Organization Active NPI

Nourishing Direction Inc

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1548575129
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
15D0689426 Issued in IN
Legal business name
NOURISHING DIRECTION INC
Practice address
635 Barnhill Dr
Indianapolis, IN 46202-5126
Phone
(877) 319-3003
NPI assigned
Aug 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Thomas J Romano, M.D.NPI 1720072846
Title
President
Phone
(877) 319-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 15D0689426 IN Primary

Addresses

Primary practice location

635 Barnhill Dr
Indianapolis, IN 46202-5126

Mailing address

22287 Mulholland Hwy
Ste 213
Calabasas, CA 91302-5157
Phone (877) 319-3003

Other names 1

  • transplant immunology laboratory Doing business as

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
15D0689426Transplant Immunology Laboratory635 Barnhill Dr Ms 2006, Indianapolis, IN 46202AccreditationJan 2, 2027

National Provider Directory

National Provider Directory

Locations

635 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-3772

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1548575129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22287 MULHOLLAND HWY",
            "address_2": "STE 213",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025157",
            "telephone_number": "877-319-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 BARNHILL DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025126",
            "telephone_number": "877-319-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING DIRECTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-08",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-319-3003",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "15D0689426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "transplant immunology laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 30, 2010; 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.