Active NPI
Liberty Testing
- Clinical Medical Laboratory
- Tell City, IN
National Provider Identifier
1679959191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 15D2094461
- 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, 2015
- 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
- Erin E Schurmeier
- Title
- Director
- Phone
- (812) 568-3565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.