INFORM DIAGNOSTICS, INC (NPI# 1548604051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548604051 |
| Entity Type | Organization |
| Organization Name | INFORM DIAGNOSTICS, INC |
| Other Organization Name | (F/K/A CARIS DIAGNOSTICS, INC.) |
| Practice Address |
9978 Washington St Camp Dennison OH 45111-9717 |
| Mailing Address |
6655 North Macarthur Boulevard Attn: Provider Enrollment Irving TX 75039-2443 |
| Practice Telephone | 8009798292 |
| Practice Fax Number | 9727670126 |
| Mailing Telephone | 2145967031 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2019-10-27 |
| Authorized Official Name | DANA ARLENE SIMONDS (SVP, COMPLIANCE, ETHICS & QUALITY) |
| Authorized Official Telephone | 2142778700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| (f/b/a) Miraca Life Sciences, Inc | Former Legal Business Name - Organization |
| (f/k/a Caris Diagnostics, Inc.) | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467433292 | Inform Diagnostics, Inc | Pathology | 6655 North Macarthur Boulevard, Irving, TX 75039-2243 | 2005-11-09 |
| 1821400920 | Inform Diagnostics, Inc | Pathology | 13854 Lakeside Cir, Sterling Heights, MI 48313-1316 | 2014-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INFORM DIAGNOSTICS, INC. | 6655 N Macarthur Blvd, Irving, TX 75039-2443 |
| Colorado Business Entities | Inform Diagnostics, Inc. | 6655 N. Macarthur Blvd, Irvine, TX 75039 |
| Alabama Business Registrations | Inform Diagnostics, Inc. | 6655 N Macarthur Blvd, Irving, TX 75039 |
| Street Address |
9978 WASHINGTON ST |
| City | CAMP DENNISON |
| State | OH |
| Zip Code | 45111-9717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104287291 | Prime Healthcare Group | In Home Supportive Care | 10057 Lincoln Rd, Camp Dennison, OH 45111-9736 | 2016-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104287291 | Prime Healthcare Group | In Home Supportive Care | 10057 Lincoln Rd, Camp Dennison, OH 45111-9736 | 2016-03-16 |
| 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. |
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| Find all providers with the same taxonomy | ||||
| City | CAMP DENNISON |
| Zip Code | 45111 |
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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.