Organization Active NPI

Sovereign Testing Solutions, LLC

  • Health Service Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1558154609
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SOVEREIGN TESTING SOLUTIONS, LLC
Practice address
1040 E 86TH St Ste 48B
Indianapolis, IN 46240-1894
Phone
(317) 654-4609
NPI assigned
May 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Nataya Cook, PMP
Title
Ceo
Phone
(463) 276-8533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1040 E 86TH St Ste 48B
Indianapolis, IN 46240-1894

Mailing address

1040 E 86TH St Ste 48B
Indianapolis, IN 46240-1894
Phone (463) 276-8533

National Provider Directory

National Provider Directory

Locations

1040 E 86th St
Ste 48B
Indianapolis, IN 46240
Phone (317) 654-4609

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1558154609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 E 86TH ST STE 48B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401894",
            "telephone_number": "463-276-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E 86TH ST STE 48B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401894",
            "telephone_number": "317-654-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN TESTING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "NATAYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "463-276-8533",
        "authorized_official_credential": "PMP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "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 May 22, 2025; 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.