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INDY HEALTH LABS LLC NPI 1114483484


NPI Information

NPI: 1114483484
Provider Name: INDY HEALTH LABS LLC
Classification: Pathology - 247ZC0005X
Entity Type: Organization

Specialization: Clinical Laboratory Director, Non-physician

CLIA Number: 49D2163536

Address:
4118 FRANKLIN RD SW STE A
ROANOKE, VA
ZIP 24014
Phone: (540) 682-2160
Get Directions

INDY HEALTH LABS LLC is a clinical laboratory director and non-physician pathology in Roanoke, VA. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. INDY HEALTH LABS LLC NPI is 1114483484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4118 FRANKLIN RD SW STE A
ROANOKE, VA
ZIP 24014-232
Phone: (540) 682-2160
Fax: (540) 206-2324

The provider's authorized official is Robert Lovette Pressley .
The authorized official title is President and has the following contact phone number (256) 797-6436.

The CLIA number assigned to this NPI record is 49D2163536 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/12/2019 and was last updated on 2/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1247ZC0005XPathologyClinical Laboratory Director, Non-physicianYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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