NPIMap

Organization Active NPI

Reid Physician Associates, Inc

Doing business as Reid Health Lab Winchester

  • Clinical Medical Laboratory
  • Winchester, IN
National Provider Identifier
1962108787
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REID PHYSICIAN ASSOCIATES, INC
Doing business as
Reid Health Lab Winchester
Practice address
386 Symmes Center Dr Ste 3
Winchester, IN 47394-9404
Phone
(765) 854-6445
Fax
(765) 584-6446
NPI assigned
Feb 2, 2023
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Misty Nash
Title
Director
Phone
(765) 983-3127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

386 Symmes Center Dr Ste 3
Winchester, IN 47394-9404

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3127

Other names 1

  • Reid Health Lab Winchester Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240507001762 IN Part B Supplier - Independent Clinical Laboratory 6406910769 Practice locations: Winchester, IN

Other NPIs with the same Medicare PAC ID 7

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
15D1066197Reid Health Lab - Winchester386 Symmes Center Drive, Ste 3, Winchester, IN 47394Certificate of waiverMar 18, 2027
15D2032642Reid Health Primary & Specialty Care - Winchester386 Symmes Center Drive, Ste 1, Winchester, IN 47394Certificate of waiverDec 8, 2026

National Provider Directory

National Provider Directory
Tax ID family
Reid Physician Assocs Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

386 Symmes Center Dr
Winchester, IN 47394
Phone (765) 584-6445

386 Symmes Center Dr
Ste 3
Winchester, IN 47394
Phone (765) 584-6445

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reid Primary & Specialty Care - Cambridge CityCambridge City, IN, CCN 153896 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 28, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1962108787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 SYMMES CENTER DR STE 3",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473949404",
            "telephone_number": "765-854-6445",
            "fax_number": "765-584-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID PHYSICIAN ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-983-3127"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reid Health Lab Winchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, IN

Sources for this page

Verify at the official NPI Registry.