EASTSIDE DIAGNOSTICS, INC.


Address: 8163 E 21st St, Indianapolis, IN 46219-2513
Phone: 3178974494

EASTSIDE DIAGNOSTICS, INC. (NPI# 1023207925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023207925
Entity Type Organization
Organization Name EASTSIDE DIAGNOSTICS, INC.
Practice Address 8163 E 21st St
Indianapolis
IN 46219-2513
Mailing Address Po Box 199024
Indianapolis
IN 46219-9024
Practice Telephone 3178974494
Practice Fax Number 3178975490
Mailing Telephone 3178974494
Mailing Fax Number 3178975490
Enumeration Date 2007-10-17
Last Update Date 2007-10-17
Authorized Official Name MISS PATRICIA A GRABINSKI (OWNER)
Authorized Official Telephone 3178979949
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 8163 E 21ST ST
City INDIANAPOLIS
State IN
Zip Code 46219-2513

Providers in the same location

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1194033092 State of Indiana Auditor of State Clinical Medical Laboratory 550 W 16th St Ste B, Indianapolis, IN 46202-2218 2010-09-14
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Competitor

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City INDIANAPOLIS
Zip Code 46219

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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