Medical Diagnostic Services LLP

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MEDICAL DIAGNOSTIC SERVICES LLP

Practice address

2400 South St
Lafayette, IN 47904-3027

Phone

(765) 448-4319

Fax

(765) 448-2921

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Mario Rolando ContrerasNPI 1841297801

Title

Partner

Phone

(765) 448-4319

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Rolando Contreras, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lafayette, IN
  • NPI 1841297801
  NPD Authorized official
• Kenneth Gerald Fortress, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Vincennes, IN
  • NPI 1487650180
  NPD
• Eric Wygant Stark, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lafayette, IN
  • NPI 1750389169
  NPD

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790783074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5628",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479035628",
            "telephone_number": "765-448-4319",
            "fax_number": "765-448-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SOUTH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479043027",
            "telephone_number": "765-448-4319",
            "fax_number": "765-448-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC SERVICES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ROLANDO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "765-448-4319"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayle Elan Means, RBT
• Kristen Mears, OT
• Med-a-Port Inc.
• Medexpress Urgent Care, PC - Indiana
• Medical Diagnostic Services
• Meijer Stores Limited Partnership
• Makenna Ann Meister, PA
• Nikki Louise Melchi, MA CCC SLP
• Russell Don Meldrum, MD
• Sara Mellady, CST

• Anatomic Pathology & Clinical Pathology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.