Organization Active NPI

Indiana Fertility Laboratory LLC

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1780059998
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INDIANA FERTILITY LABORATORY LLC
Practice address
10610 N Pennsylvania St
Indianapolis, IN 46280-2004
Phone
(617) 575-6565
NPI assigned
Dec 14, 2015
Organization subpart
Yes
Parent organization
INDIANA FERTILITY ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Debbie James
Title
President
Phone
(615) 550-7357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

10610 N Pennsylvania St
Indianapolis, IN 46280-2004

Mailing address

5000 Meridian Blvd
Suite 250
Franklin, TN 37067-6667
Phone (615) 550-4900

National Provider Directory

National Provider Directory
Part of
Indiana Fertility Associates PC

Locations

10610 N Pennsylvania St
Carmel, IN 46280
Phone (317) 575-6565

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1780059998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MERIDIAN BLVD",
            "address_2": "SUITE 250",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676667",
            "telephone_number": "615-550-4900",
            "fax_number": "615-550-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 N PENNSYLVANIA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802004",
            "telephone_number": "617-575-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA FERTILITY LABORATORY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA FERTILITY ASSOCIATES",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-550-7357"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.