Accustat Medical Lab, Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

20647 Issued in IN

Legal business name

ACCUSTAT MEDICAL LAB, INC.

Practice address

1811 Executive Dr
Suite F
Indianapolis, IN 46241-4300

Phone

(317) 248-3870

Fax

(317) 248-3885

NPI assigned

Jul 7, 2005

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel W Greer

Title

Secretary/Treasurer

Phone

(317) 248-3870

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1902803745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 EXECUTIVE DR",
            "address_2": "SUITE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414300",
            "telephone_number": "317-248-3870",
            "fax_number": "317-248-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 EXECUTIVE DR",
            "address_2": "SUITE F",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414300",
            "telephone_number": "317-248-3870",
            "fax_number": "317-248-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUSTAT MEDICAL LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "317-248-3870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "IN",
            "license": "20647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.