NPIMap

Organization Active NPI

DCL Pathology LLC

  • Clinical Medical Laboratory
  • Carmel, IN
National Provider Identifier
1922386325
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DCL PATHOLOGY LLC
Practice address
12772 Hamilton Crossing Blvd Ste a
Carmel, IN 46032-5422
Phone
(317) 874-1254
Fax
(317) 872-4193
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Dr. Mary Carol Eisenhut, MD
Title
Lab Director
Phone
(800) 288-8325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

12772 Hamilton Crossing Blvd Ste a
Carmel, IN 46032-5422

Mailing address

12772 Hamilton Crossing Blvd Ste a
Carmel, IN 46032-5422
Phone (317) 874-1254

Other identifiers 3

IdentifierTypeStateIssuer
05822083MedicaidOH
7100181920MedicaidKY
201050900AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111024000083 IN Part B Supplier - Independent Clinical Laboratory 1850564675 Practice locations: Carmel, IN

Other NPIs with the same Medicare PAC ID 1

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
15D2027272DCL Pathology, LLC12772 Hamilton Crossing Blvd Suite a, Carmel, IN 46032AccreditationJul 24, 2026

National Provider Directory

National Provider Directory
Tax ID family
DCL Pathology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

10291 N Meridian St
Ste 100
Carmel, IN 46290
Phone (317) 874-1254

12772 Hamilton Crossing Blvd
Ste A
Carmel, IN 46032
Phone (317) 874-1254

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1922386325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12772 HAMILTON CROSSING BLVD STE A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325422",
            "telephone_number": "317-874-1254",
            "fax_number": "317-872-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12772 HAMILTON CROSSING BLVD STE A",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325422",
            "telephone_number": "317-874-1254",
            "fax_number": "317-872-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DCL PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "EISENHUT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "800-288-8325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05822083",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100181920",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201050900A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.