NPIMap

Organization Active NPI

Physicians Health Group LLC

  • Clinical Medical Laboratory
  • Evansville, IN
National Provider Identifier
1891773495
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHYSICIANS HEALTH GROUP LLC
Doing business as
PHG Diagnostic Testing Center - Lab
Practice address
3801 Bellemeade Ave
Suite 010
Evansville, IN 47714-0100
Phone
(812) 485-1808
Fax
(812) 485-1809
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Carolyn Weinert
Title
Executive Director
Phone
(812) 485-1818

Specialties & licenses 1

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

Addresses

Primary practice location

3801 Bellemeade Ave
Suite 010
Evansville, IN 47714-0100

Mailing address

3801 Bellemeade Ave
Suite 010
Evansville, IN 47714-0100
Phone (812) 485-1808

Other identifiers 1

IdentifierTypeStateIssuer
P00018148OtherRAILROAD MEDICARE

Other names 1

  • PHG Diagnostic Testing Center - Lab Doing business as

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
15D2108281Ascension Medical Group Dermatology3801 Bellemeade Ave, Ste 120, Evansville, IN 47714ComplianceNov 16, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1891773495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "address_2": "SUITE 010",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140100",
            "telephone_number": "812-485-1808",
            "fax_number": "812-485-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "address_2": "SUITE 010",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140100",
            "telephone_number": "812-485-1808",
            "fax_number": "812-485-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WEINERT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-485-1818"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00018148",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHG Diagnostic Testing Center - Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.