MATRIX LIFECARE CENTER INC. NPI 1851017784

NPI Information

  • NPI: 1851017784
  • Provider Name: MATRIX LIFECARE CENTER INC.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 15D2028526
  • Address: 938 MEZZANINE DR STE B
    LAFAYETTE, IN
    ZIP 47905
  • Phone: (765) 742-1533

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NPI Details

MATRIX LIFECARE CENTER INC. is an obstetrics gynecology in Lafayette, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MATRIX LIFECARE CENTER INC. NPI is 1851017784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

938 MEZZANINE DR STE B
LAFAYETTE, IN
ZIP 47905-641
Phone: (765) 742-1533
Fax: (765) 742-1824

The provider's authorized official is Jonni Miller .
The authorized official title is Nurse Manager and has the following contact phone number (765) 742-1533.

The CLIA number assigned to this NPI record is 15D2028526 - other - pregnancy clinic, mobile with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2022 and was last updated on 10/12/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

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: 11/21/2025

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