NANI LAB LLC (NPI# 1811472186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811472186 |
| Entity Type | Organization |
| Organization Name | NANI LAB LLC |
| Practice Address |
7836 W Jefferson Blvd Ste 10 Fort Wayne IN 46804-4165 |
| Mailing Address |
120 W 22nd St Ste 300 Oak Brook IL 60523-4071 |
| Practice Telephone | 2604943484 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | MR. BRIAN O'DEA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6309745225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 W 22nd St Ste 300, Oak Brook, IL 605234071 | 6309745000 |
| Street Address |
7836 W JEFFERSON BLVD STE 10 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| 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 |
|---|---|---|---|---|
| 1700067444 | Pa Labs Inc | Clinical Medical Laboratory | 6033 N Clinton St, Fort Wayne, IN 46825-4903 | 2007-11-23 |
| 1164644670 | Sisira Ranasinghe M.d., Inc. | Clinical Medical Laboratory | 228d, East Collins Road, Fort Wayne, IN 46825-5394 | 2007-05-03 |
| 1558815605 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 10215 Auburn Park Dr, Fort Wayne, IN 46825-2387 | 2016-08-06 |
| 1851633069 | Iq Laboratories Inc | Clinical Medical Laboratory | 6819 Lima Rd, Fort Wayne, IN 46818-1145 | 2013-03-26 |
| 1861725459 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 6033 N Clinton St, Fort Wayne, IN 46825-4903 | 2009-09-14 |
| 1780819755 | Spine Sports and Pain Medicine, PC | Clinical Medical Laboratory | 7900 W Jefferson Blvd, Fort Wayne, IN 46804-4128 | 2009-05-20 |
| 1700064953 | Candu Lab Services | Clinical Medical Laboratory | 2118 Inwood Dr, Suite 121, Fort Wayne, IN 46815-7115 | 2008-02-08 |
| 1346421088 | Pa Labs Inc | Clinical Medical Laboratory | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2007-11-23 |
| 1508950171 | Parkview Professional Programs, Inc. | Clinical Medical Laboratory | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2006-10-03 |
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|---|---|---|---|---|
| 1770195067 | Reid Physician Associates Inc | Clinical Medical Laboratory | 1154 S State Road 1 Ste 3, Cambridge City, IN 47327-9513 | 2020-08-19 |
| 1801418751 | Labcorp Indiana Inc | Clinical Medical Laboratory | 530 N Lafayette Blvd Fl 1, South Bend, IN 46601-1004 | 2020-05-14 |
| 1457996522 | Heritage Laboratory Inc | Clinical Medical Laboratory | 7895 Broadway Ste V1, Merrillville, IN 46410-5529 | 2019-11-13 |
| 1538719810 | Labcorp Indiana Inc | Clinical Medical Laboratory | 5340 Holy Cross Pkwy Ste 206, Mishawaka, IN 46545-1470 | 2019-09-18 |
| 1568012540 | Labcorp Indiana Inc | Clinical Medical Laboratory | 125 St Liam Hall, Notre Dame, IN 46556-5693 | 2019-09-12 |
| 1013567098 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1320 S Wisconsin St, Hobart, IN 46342-5502 | 2019-09-12 |
| 1609426667 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1506 Osolo Rd Ste A, Elkhart, IN 46514-4122 | 2019-09-12 |
| 1659921617 | Labcorp Indiana Inc | Clinical Medical Laboratory | 611 E Douglas Rd Ste 300, Mishawaka, IN 46545-1467 | 2019-09-12 |
| 1518516533 | Labcorp Indiana Inc | Clinical Medical Laboratory | 530 N Lafayette Blvd Fl 2, South Bend, IN 46601-1004 | 2019-09-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.