Organization Active NPI

Technical Resource Management LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1619643632
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TECHNICAL RESOURCE MANAGEMENT LLC
Doing business as
Cordant Health Solutions
Practice address
5604 Fortune Cir S Ste N
Indianapolis, IN 46241-5529
Phone
(855) 895-8090
Fax
(303) 371-0345
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Sylvia L Freeman
Title
Manager of Credentialing and Enroll
Phone
(508) 304-7602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5604 Fortune Cir S Ste N
Indianapolis, IN 46241-5529

Mailing address

PO Box 172775
Denver, CO 80217-2775
Phone (855) 895-8090

Other names 1

  • Cordant Health Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231017002321 IN Part B Supplier - Independent Clinical Laboratory 4587969126 Practice locations: Indianapolis, IN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

5604 Fortune Cir S
Ste N
Indianapolis, IN 46241
Phone (844) 848-5955

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1619643632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172775",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802172775",
            "telephone_number": "855-895-8090",
            "fax_number": "303-371-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 FORTUNE CIR S STE N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462415529",
            "telephone_number": "855-895-8090",
            "fax_number": "303-371-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TECHNICAL RESOURCE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER OF CREDENTIALING AND ENROLL",
        "authorized_official_telephone_number": "508-304-7602"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordant Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cordant Health Solutions",
            "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 Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.