15D1096608 CLIA NUMBER - NEPHROLOGY PHYSICIANS LLC

Laboratory Demographics

  • CLIA Code: 15D1096608
  • Facility Name: NEPHROLOGY PHYSICIANS LLC
  • Facility Address: 2855 MILLER DR
    PLYMOUTH, IN
    ZIP 46563
  • Facility Phone: 574 273-6767
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES L. PORILE
  • NPI Number: 1952301525
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1096608
LAB Type Physician Office
Facility Name NEPHROLOGY PHYSICIANS LLC
Street 2855 MILLER DR
City PLYMOUTH
State IN
ZIP 46563
Phone 574 273-6767
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director JAMES L. PORILE

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This page was last updated on: 9/29/2025