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TERRE HAUTE MEDICAL LABORATORY INC NPI 1275536195


NPI Information

NPI: 1275536195
Provider Name: TERRE HAUTE MEDICAL LABORATORY, INC

Doing Business As: MEDLAB

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
1606 N 7TH STREET
TERRE HAUTE, IN
ZIP 47804
Phone: (812) 244-0100
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TERRE HAUTE MEDICAL LABORATORY, INC is a clinical medical laboratory in Terre Haute, IN. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. TERRE HAUTE MEDICAL LABORATORY, INC NPI is 1275536195. The provider is registered as an organization entity type.
The provider Is Doing Business As Medlab.

The provider's business location address is:

1606 N 7TH STREET
TERRE HAUTE, IN
ZIP 47804-706
Phone: (812) 244-0100
Fax: (812) 232-1517

The provider's authorized official is William D. Depond .
The authorized official title is President And Chief Medical Officer and has the following contact phone number (812) 244-0100.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 12/2/2010.


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
1291U00000XClinical Medical Laboratory50000920AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1131080MEDICARE ID-TYPE UNSPECIFIEDINDIANA
2100453060AMEDICARE ID-TYPE UNSPECIFIEDINDIANA
3100284700MEDICAIDINDIANA
4100284650AMEDICAIDINDIANA
5608590MEDICARE ID-TYPE UNSPECIFIEDINDIANA
6100453080AMEDICAIDINDIANA
7679390MEDICARE ID-TYPE UNSPECIFIEDINDIANA
8205008MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
9100284610AMEDICAIDINDIANA
10200131840AMEDICAIDINDIANA
11100468870AMEDICAIDINDIANA
12983200MEDICARE ID-TYPE UNSPECIFIEDINDIANA
13983190MEDICARE ID-TYPE UNSPECIFIEDINDIANA
14203700MEDICARE ID-TYPE UNSPECIFIEDINDIANA
15983230MEDICARE ID-TYPE UNSPECIFIEDINDIANA
16100468890AMEDICAIDINDIANA
17983080MEDICARE ID-TYPE UNSPECIFIEDINDIANA

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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