TERRE HAUTE MEDICAL LABORATORY, INC. (NPI# 1477870772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477870772 |
| Entity Type | Organization |
| Organization Name | TERRE HAUTE MEDICAL LABORATORY, INC. |
| Other Organization Name | MEDLAB |
| Practice Address |
410 N 2nd St Marshall IL 62441-1010 |
| Mailing Address |
634 Beech St Terre Haute IN 47804-2760 |
| Practice Telephone | 8122440100 |
| Practice Fax Number | 8122440096 |
| Mailing Telephone | 8122440100 |
| Mailing Fax Number | 8122440096 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |
| Authorized Official Name | DR. WILLIAM DAVID DEPOND (PRESIDENT/CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8122440100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | TERRE HAUTE MEDICAL LABORATORY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 50000920A | IN | Laboratories |
| Other Name | Type Code |
|---|---|
| MEDLAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164749503 | Terre Haute Medical Laboratory, Inc. | Clinical Medical Laboratory | 890 Ridgelawn Rd, Suite A, Martinsville, IL 62442 | 2010-04-26 |
| Street Address |
410 N 2ND ST |
| City | MARSHALL |
| State | IL |
| Zip Code | 62441-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867373 | Steven Macke | Family Medicine | 410 N 2nd St, Marshall, IL 62441-1010 | 2005-11-02 |
| 1801448816 | Marshall Rehabilitation and Nursing LLC | Skilled Nursing Facility | 410 N 2nd St, Marshall, IL 62441-1010 | 2019-07-10 |
| 1528415171 | Burnsides Community Health Center, Nfp | Durable Medical Equipment & Medical Supplies | 410 N 2nd St, Marshall, IL 62441-1010 | 2016-05-24 |
| 1104235845 | Brandi Renee York | Occupational Therapist | 410 N 2nd St, Marshall, IL 62441-1010 | 2014-08-06 |
| 1972911220 | Holly Newkirk | Physical Therapy Assistant | 410 N 2nd St, Marshall, IL 62441-1010 | 2014-07-31 |
| 1194086413 | Marshall Physical Therapy, LLC | Physical Therapist | 410 N 2nd St, Marshall, IL 62441-1010 | 2012-06-04 |
| 1194045849 | Union Associated Physicians Clinic, LLC | Urology | 410 N 2nd St, Marshall, IL 62441-1010 | 2010-06-04 |
| 1942537188 | Kinetic Rehab LLC | Physical Therapist | 410 N 2nd St, Marshall, IL 62441-1010 | 2009-11-09 |
| 1629248240 | Steven G Metternich | Physical Therapist | 410 N 2nd St, Marshall, IL 62441-1010 | 2008-03-11 |
| 1760667885 | Union Hospital Incorporated | Clinic/Center | 410 N 2nd St, Marshall, IL 62441-1010 | 2008-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315806 | Jacob Hoelscher | Pharmacist | 108 Kyden Drive, Marshall, IL 62441 | 2020-10-30 |
| 1023678521 | Human Resources Center of Edgar and Clark Counties | Counselor | 406 North 2nd Street, Marshall, IL 62441 | 2019-06-17 |
| 1760950737 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 1602 Il Hwy 1, Marshall, IL 62441 | 2018-11-08 |
| 1679793871 | Anita Yvonne Eirhart | Massage Therapist | 1408 N Michigan Ave, Marshall, IL 62441 | 2007-04-27 |
| 1285851188 | Wellum Chiropractic Center Inc | Chiropractor | 1602 Illinois Hwy 1, Marshall, IL 62441 | 2007-04-20 |
| 1902940513 | Marilyn Sue Patton | Massage Therapist | 121 South 6th Street, Suite B, Marshall, IL 62441 | 2007-02-16 |
| 1760536148 | William Lee King | Chiropractor | 511 Locust Street, Marshall, IL 62441 | 2007-01-22 |
| 1558455964 | Alan D Reed | Pharmacy | 813 N 2nd St, Marshall, IL 62441 | 2006-10-03 |
| 1619981081 | William O Worthington | Physical Therapist | 410 N Second Street, Marshall, IL 62441 | 2006-07-28 |
| 1063012813 | Erica Diane Weber | Pharmacist | 108 Kyden Drive, Marshall, IL 62441 | 2020-10-30 |
| Find all providers in zip 62441 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487891800 | Ella E M Brown Charitable Circle | Clinical Medical Laboratory | 1174 W Michigan Ave, Marshall, MI 49068-1497 | 2009-01-08 |
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| 1588280622 | Radiance Biosciences and Consultancy, LLC | Clinical Medical Laboratory | 1260 Iroquois Ave Ste 302, Naperville, IL 60563-8549 | 2020-06-24 |
| 1417573916 | Global Medical Solutionz Equipment & Transportation Co. | Clinical Medical Laboratory | 1334 Central Park Dr Ste 3, O Fallon, IL 62269-1784 | 2020-06-19 |
| 1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
| 1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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| 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.