Organization Active NPI

Ihealthcare Lab, Inc.

  • Clinical Medical Laboratory
  • Munster, IN
National Provider Identifier
1831130947
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
IHEALTHCARE LAB, INC.
Practice address
701 Superior Ave
Suite M
Munster, IN 46321-4029
Phone
(219) 924-1300
Fax
(219) 924-9406
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Yessenow, MD
Title
Ceo
Phone
(219) 922-4205

Specialties & licenses 1

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

Addresses

Primary practice location

701 Superior Ave
Suite M
Munster, IN 46321-4029

Mailing address

701 Superior Ave
Suite M
Munster, IN 46321-4037
Phone (219) 924-1300

National Provider Directory

National Provider Directory

Locations

701 Superior Ave
Ste M
Munster, IN 46321
Phone (219) 924-1300

701 Superior Ave
#M
Munster, IN 46321
Phone (219) 924-1300

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831130947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SUPERIOR AVE",
            "address_2": "SUITE M",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214037",
            "telephone_number": "219-924-1300",
            "fax_number": "219-924-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SUPERIOR AVE",
            "address_2": "SUITE M",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214029",
            "telephone_number": "219-924-1300",
            "fax_number": "219-924-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHEALTHCARE LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YESSENOW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-922-4205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.