Active NPI
Technical Resource Management LLC
- Clinical Medical Laboratory
- Indianapolis, IN
National Provider Identifier
1619643632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Clinical Medical Laboratory
- Flagstaff, AZ
- NPI 1558544817
4587969126
National Provider Directory
National Provider DirectoryLocations
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.