Active NPI
MSL, Inc.
- Clinical Medical Laboratory
- Kokomo, IN
National Provider Identifier
1780629659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 15D0358655
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100283780A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
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.