NPIMap

Organization Active NPI

Hometown Urgent Care of Michigan, PC

Doing business as WellNow Clinical Laboratory

  • Clinical Medical Laboratory
  • Indianapolis, IN
National Provider Identifier
1881358489
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HOMETOWN URGENT CARE OF MICHIGAN, PC
Doing business as
WellNow Clinical Laboratory
Practice address
4903 S Emerson Ave Ste B
Indianapolis, IN 46203-5938
Phone
(317) 352-5582
Fax
(317) 352-5583
NPI assigned
Oct 29, 2021
Last updated
Dec 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
John Radford, MD
Title
President
Phone
(716) 699-9032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4903 S Emerson Ave Ste B
Indianapolis, IN 46203-5938

Mailing address

PO Box 500
Ellicottville, NY 14731-0500
Phone (171) 669-9903

Other names 1

  • WellNow Clinical Laboratory Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211217000229 IN Part B Supplier - Independent Clinical Laboratory 8123270840 Practice locations: Indianapolis, IN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2245880Pic Indiana, PC Dba Wellnow Urgent Care4903 South Emerson Ave Suite a, Indianapolis, IN 46203Certificate of waiverDec 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hometown Urgent Care of Michigan PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

4903 S Emerson Ave
Ste B
Indianapolis, IN 46203
Phone (317) 352-5582

1125 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

11921 Fulton St E
#B
Lowell, MI 49331
Phone (616) 317-7122

930 S 11th St
Ste 100
Niles, MI 49120
Phone (269) 845-4064

1101 S Centerville Rd
Sturgis, MI 49091
Phone (269) 319-3053

238 N Rocky River Dr
Ste A
Berea, OH 44017
Phone (440) 398-8011

10575 Springfield Pike
Cincinnati, OH 45215
Phone (513) 815-3852

1615 Morse Rd
Columbus, OH 43229
Phone (614) 681-1100

9150 N Main St
Englewood, OH 45415
Phone (937) 770-3039

22595 Lake Shore Blvd
Euclid, OH 44123
Phone (216) 416-0214

3799 S Hamilton Rd
Groveport, OH 43125
Phone (614) 505-7654

201 E Ash St
Piqua, OH 45356
Phone (937) 381-5094

2551 E State St
Salem, OH 44460
Phone (330) 277-2070

2277 Michigan St
Sidney, OH 45365
Phone (937) 492-1961

1200 Vester Ave
Springfield, OH 45503
Phone (937) 342-9520

38 S Burnett Rd
Springfield, OH 45505
Phone (937) 325-7450

4164 Burbank Rd
Wooster, OH 44691
Phone (330) 345-8032

101 S Orange St
Xenia, OH 45385
Phone (937) 271-0066

1301 Boardman Poland Rd
Youngstown, OH 44514
Phone (330) 629-2300

2564 Maple Ave
Zanesville, OH 43701
Phone (614) 948-2065

Practitioners & affiliated clinicians

Practitioners 247

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 247

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1881358489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "ELLICOTTVILLE",
            "state": "NY",
            "postal_code": "147310500",
            "telephone_number": "171-669-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 S EMERSON AVE STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035938",
            "telephone_number": "317-352-5582",
            "fax_number": "317-352-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN URGENT CARE OF MICHIGAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-699-9032",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellNow Clinical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellNow Clinical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.