Organization Active NPI

Liberty Testing

  • Clinical Medical Laboratory
  • Tell City, IN
National Provider Identifier
1679959191
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
15D2094461 Issued in IN
Legal business name
LIBERTY TESTING
Practice address
11056 Old State Road 37
Tell City, IN 47586-8792
Phone
(812) 568-3565
Fax
(812) 548-0089
NPI assigned
Aug 6, 2015
Last updated
Aug 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Erin E Schurmeier
Title
Director
Phone
(812) 568-3565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 15D2094461 IN Primary

Addresses

Primary practice location

11056 Old State Road 37
Tell City, IN 47586-8792

Mailing address

710 13TH St
Tell City, IN 47586-1733
Phone (812) 568-3565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1679959191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 13TH ST",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475861733",
            "telephone_number": "812-568-3565",
            "fax_number": "812-548-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11056 OLD STATE ROAD 37",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "475868792",
            "telephone_number": "812-568-3565",
            "fax_number": "812-548-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "SCHURMEIER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-568-3565"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "15D2094461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tell City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.