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AGILITY LAB SERVICES NPI 1750042388


NPI Information

NPI: 1750042388
Provider Name: AGILITY LAB SERVICES
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 15D2246601

Address:
540 W 65TH ST
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 991-8054
Get Directions

AGILITY LAB SERVICES is a clinic center in Indianapolis, IN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). AGILITY LAB SERVICES NPI is 1750042388. The provider is registered as an organization entity type.

The provider's business location address is:

540 W 65TH ST
INDIANAPOLIS, IN
ZIP 46260-604
Phone: (317) 991-8054

The provider's authorized official is Courtney Fleming .
The authorized official title is Owner and has the following contact phone number (317) 991-8054.

The CLIA number assigned to this NPI record is 15D2246601 - other - diagnostic lab services with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2022 and was last updated on 3/15/2022.


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
1261Q00000XClinic/CenterYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.