NPIMap

Organization Active NPI

Reid Physician Associates, Inc

Doing business as Reid Health Laboratory Brookville

  • Clinical Medical Laboratory
  • Brookville, IN
National Provider Identifier
1679271100
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REID PHYSICIAN ASSOCIATES, INC
Doing business as
Reid Health Laboratory Brookville
Practice address
11051 State Road 101 Ste B
Brookville, IN 47012-0018
Phone
(765) 647-7623
Fax
(765) 647-7624
NPI assigned
Feb 23, 2023
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Misty Nash
Title
Director
Phone
(765) 983-3127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11051 State Road 101 Ste B
Brookville, IN 47012-0018

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3127

Other names 1

  • Reid Health Laboratory Brookville 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
15D1005533Reid Health Primary & Specialty Care - Brookville11051 State Road 101, Suite a, Brookville, IN 47012Certificate of waiverOct 26, 2026
15D2277765Reid Health Laboratory - Brookville11051 State Road 101 Suite B, Brookville, IN 47012Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Reid Physician Assocs Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1679271100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11051 STATE ROAD 101 STE B",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470120018",
            "telephone_number": "765-647-7623",
            "fax_number": "765-647-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID PHYSICIAN ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-983-3127"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reid Health Laboratory Brookville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.