Organization Active NPI

Dr. Charles E. Tomich, DDS, MSD, PC

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1588828966
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
12006898A Issued in IN
Legal business name
DR. CHARLES E. TOMICH, DDS, MSD, PC
Practice address
9292 N Meridian St
Suite 210
Indianapolis, IN 46260-1857
Phone
(317) 843-2204
Fax
(317) 843-2478
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Christy D. Lynn
Title
Office Manager
Phone
(317) 843-2204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 12006898A IN Primary

Addresses

Primary practice location

9292 N Meridian St
Suite 210
Indianapolis, IN 46260-1857

Mailing address

9292 N Meridian St
Suite 210
Indianapolis, IN 46260-1857
Phone (317) 843-2204

National Provider Directory

National Provider Directory

Locations

9292 N Meridian St
Ste 210
Indianapolis, IN 46260
Phone (317) 432-2048

Practitioners & affiliated clinicians

Practitioners 1

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": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1588828966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9292 N MERIDIAN ST",
            "address_2": "SUITE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601857",
            "telephone_number": "317-843-2204",
            "fax_number": "317-843-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9292 N MERIDIAN ST",
            "address_2": "SUITE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601857",
            "telephone_number": "317-843-2204",
            "fax_number": "317-843-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHARLES E. TOMICH, DDS, MSD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-843-2204",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "12006898A",
            "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 Jul 15, 2008; 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.