Esoterix, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ESOTERIX, INC.

Practice address

1200 W White River Blvd
Muncie, IN 47303-4988

Phone

(765) 747-8445

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. William B Hayes

Title

Cfo Evp Treasurer

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1891925707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2240",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162240",
            "telephone_number": "800-222-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988",
            "telephone_number": "765-747-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESOTERIX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO EVP TREASURER",
        "authorized_official_telephone_number": "800-222-7566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA 15D1101667",
            "identifier": "15D1101667",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric J. Suding, DDS, PC
• Eric S. Browning DMD, Ms PSC
• Luke Stephen Ernstberger II, M.D.
• Christin J Erwin, RD
• Gregory S Eskew, MD
• Lyndsey Raynay Estep
• Melissa Marie Etchison, FNP-C
• Robyn N. Eubank, HSPP
• Chasity R Evans, CPNP-PC
• Cindy Renee Evans, N.P.

• All providers in Muncie, IN
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.