Patients Choice Laboratories of Indiana, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

15D2070292 Issued in IN

Legal business name

PATIENTS CHOICE LABORATORIES OF INDIANA, LLC

Practice address

7026 Corporate Dr
Indianapolis, IN 46278-1937

Phone

(317) 850-9384

NPI assigned

Jan 3, 2014

Organization subpart

No

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

Authorized official

Name

Bradley Allen Moss

Title

Ceo

Phone

(317) 850-9384

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Infinity Laboratories, LLC

  • Clinical Medical Laboratory
  • Bridgeport, TX
  • NPI 1821742206

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1720409154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 CORPORATE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781937",
            "telephone_number": "317-850-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 CORPORATE DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781937",
            "telephone_number": "317-850-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS CHOICE LABORATORIES OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-850-9384"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "15D2070292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201210830",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patience Compassionate Care LLC
• Patient AIDS Inc
• Patient First Homecare LLC
• Patient First Transport LLC
• Patient Hands Home Care, LLC
• Patients Choice, LLC
• Gulshan Patil
• Liliana Patino-Patino
• Ainsley Patricia Paton, PHARMD, RPH
• Devi Prasad Patra, MD

• Clinical Medical Laboratory in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.