Good Stick Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GOOD STICK LABORATORY

Practice address

4069 Tahoe Drive
Indianapolis, IN 46235

Phone

(317) 835-3421

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Rebbi Coe, LPNNPI 1134735418

Title

Director

Phone

(317) 835-3421

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rebbi C Coe, LPN

  • Licensed Practical Nurse
  • Indianapolis, IN
  • NPI 1134735418
  NPD Authorized official

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1932850609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11432 MUTZ CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292246",
            "telephone_number": "317-835-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4069 TAHOE DRIVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46235",
            "telephone_number": "317-835-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD STICK LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "REBBI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-835-3421",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Michaele Good
• Jason Alan Good, M.D.
• Jordin Good, RBT

• Clinical Medical Laboratory in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.