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MIDS LLC NPI 1366097016


NPI Information

NPI: 1366097016
Provider Name: MIDS, LLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 15D2169755

Address:
3838 N MAIN ST STE 1C
MISHAWAKA, IN
ZIP 46545
Phone: (574) 404-3980
Get Directions

MIDS, LLC is an infectious disease internal medicine in Mishawaka, IN. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. MIDS, LLC NPI is 1366097016. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3838 N MAIN ST STE 1C
MISHAWAKA, IN
ZIP 46545-100
Phone: (574) 404-3980
Fax: (574) 931-8601

The provider's authorized official is Lloyd Schulman .
The authorized official title is Office Manager and has the following contact phone number (574) 286-6802.

The CLIA number assigned to this NPI record is 15D2169755 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2019 and was last updated on 8/8/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RI0200XInternal MedicineInfectious DiseaseYes

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: 5/5/2024

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