Organization Active NPI

Candu Lab Services

  • Clinical Medical Laboratory
  • Fort Wayne, IN
National Provider Identifier
1700064953
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CANDU LAB SERVICES
Practice address
2118 Inwood Dr
Suite 121
Fort Wayne, IN 46815-7115
Phone
(260) 804-6727
Fax
(260) 918-0218
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Nicolae Candu
Title
President
Phone
(260) 804-6727

Specialties & licenses 1

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

Addresses

Primary practice location

2118 Inwood Dr
Suite 121
Fort Wayne, IN 46815-7115

Mailing address

2118 Inwood Dr
Suite 121
Fort Wayne, IN 46815-7115
Phone (260) 804-6727

National Provider Directory

National Provider Directory

Locations

2118 Inwood Dr
Ste 121
Fort Wayne, IN 46815
Phone (260) 804-6727

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1700064953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 INWOOD DR",
            "address_2": "SUITE 121",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157115",
            "telephone_number": "260-804-6727",
            "fax_number": "260-918-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 INWOOD DR",
            "address_2": "SUITE 121",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157115",
            "telephone_number": "260-804-6727",
            "fax_number": "260-918-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDU LAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "CANDU",
        "authorized_official_first_name": "NICOLAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-804-6727"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.