Organization Active NPI

MSL, Inc.

  • Clinical Medical Laboratory
  • Kokomo, IN
National Provider Identifier
1780629659
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
15D0358655 Issued in IN
Legal business name
MSL, INC.
Practice address
3803 Southland Ave
Kokomo, IN 46902-3638
Phone
(765) 455-1414
Fax
(765) 453-0137
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Mr. Alan Addington
Title
Owner
Phone
(765) 455-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 15D0358655 IN Primary

Addresses

Primary practice location

3803 Southland Ave
Kokomo, IN 46902-3638

Mailing address

PO Box 2245
Kokomo, IN 46904-2245
Phone (765) 455-1414

Other identifiers 1

IdentifierTypeStateIssuer
100283780AMedicaidIN

National Provider Directory

National Provider Directory

Locations

3803 Southland Ave
Kokomo, IN 46902
Phone (765) 455-1414

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1780629659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2245",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469042245",
            "telephone_number": "765-455-1414",
            "fax_number": "765-453-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 SOUTHLAND AVE",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023638",
            "telephone_number": "765-455-1414",
            "fax_number": "765-453-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "ADDINGTON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-455-1414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": "15D0358655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100283780A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.