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ST. VINCENT MEDICAL GROUP INC. NPI 1720555170


NPI Information

NPI: 1720555170
Provider Name: ST. VINCENT MEDICAL GROUP, INC.

Doing Business As: ASCENSION MEDICAL GROUP ST. VINCENT

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization

CLIA Number: 15D2157269

Address:
1300 INNOVATION PARKWAY
#150
GREENWOOD, IN
ZIP 46143
Phone: (317) 583-4410
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ST. VINCENT MEDICAL GROUP, INC. is a physiological laboratory in Greenwood, IN. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. ST. VINCENT MEDICAL GROUP, INC. NPI is 1720555170. The provider is registered as an organization entity type.
The provider Is Doing Business As Ascension Medical Group St. Vincent.

The provider's business location address is:

1300 INNOVATION PARKWAY
#150
GREENWOOD, IN
ZIP 46143-625
Phone: (317) 583-4410

The provider's authorized official is Brian Morris .
The authorized official title is Cfo and has the following contact phone number (317) 338-6234.

The CLIA number assigned to this NPI record is 15D2157269 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2018 and was last updated on 2/12/2020.


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
1293D00000XPhysiological LaboratoryYes

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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