Organization Active NPI

Alverno Laboratories, LLC

  • Clinical Medical Laboratory
  • Hammond, IN
National Provider Identifier
1861763658
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120223000265 IN Part B Supplier - Independent Clinical Laboratory 2668630542 Practice locations: Hammond, IN

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.