Active NPI
Alverno Laboratories, LLC
- Clinical Medical Laboratory
- Hammond, IN
National Provider Identifier
1861763658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ALVERNO LABORATORIES, LLC
- Practice address
- 2434 Interstate Plaza Dr.
Hammond, IN 46324-2671 - Phone
- (219) 989-3700
- Fax
- (219) 989-3900
- NPI assigned
- Jan 25, 2012
- Last updated
- Mar 10, 2025
- 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
- Sam Terese
- Title
- Ceo and President
- Phone
- (219) 803-4776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
2434 Interstate Plaza Dr.
Hammond, IN 46324-2671
Mailing address
2434 Interstate Plaza Dr
Hammond, IN 46324-2671
Phone (219) 989-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120223000265 | IN | Part B Supplier - Independent Clinical Laboratory | 2668630542 | Practice locations: Hammond, IN |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Franciscan Outpatient Pharmacy Michigan City
- Community/Retail Pharmacy
- Michigan City, IN
- NPI 1851774095
Member Of
-
dba Resurrection Services
- Internal Medicine Physician
- Chicago, IL
- NPI 1285741033
Member Of
Locations
656 N Convent St
Ste 656E
Bourbonnais, IL 60914
26033 Network Pl
Chicago, IL 60673
1345 Unity Pl
Ste 125
Lafayette, IN 47905
Phone (765) 446-5224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1861763658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2434 INTERSTATE PLAZA DR",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463242671",
"telephone_number": "219-989-3700",
"fax_number": "219-989-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2434 INTERSTATE PLAZA DR.",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463242671",
"telephone_number": "219-989-3700",
"fax_number": "219-989-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALVERNO LABORATORIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-25",
"last_updated": "2025-03-10",
"status": "A",
"authorized_official_last_name": "TERESE",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "CEO AND PRESIDENT",
"authorized_official_telephone_number": "219-803-4776"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.