ANDREA R. TERRELL (NPI# 1962719229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962719229 |
| Entity Type | Individual |
| Full Name | ANDREA R. TERRELL |
| Credential | PH.D. |
| Practice Address |
2265 Executive Dr Indianapolis IN 46241-4352 |
| Practice Telephone | 3172433894 |
| Mailing Telephone | 3172433894 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2015-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2265 EXECUTIVE DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46241-4352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457804197 | Axis Forensic Toxicology, Inc. | Clinical Medical Laboratory | 2265 Executive Dr, Indianapolis, IN 46241-4352 | 2016-07-29 |
| 1316255060 | Ait Laboratories Inc | Clinical Medical Laboratory | 2265 Executive Dr, Indianapolis, IN 46241-4352 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
| 1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
| 1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
| 1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
| 1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
| 1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
| Find all providers in zip 46241 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427582121 | Ryan F Relich | Pathology | 350 W 11th St, Room 6027e, Pathology Laboratory, Indianapolis, IN 46202-4108 | 2017-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920603 | Ariel Words | Pathology | 1233 Woodfield Ave, South Bend, IN 46615-3803 | 2020-07-29 |
| City | INDIANAPOLIS |
| Zip Code | 46241 |
Please comment or provide details below to improve the information on ANDREA R. TERRELL.
| 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.