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FIRSTSOURCE LABORATORY SOLUTIONS INC. NPI 1255369906


NPI Information

NPI: 1255369906
Provider Name: FIRSTSOURCE LABORATORY SOLUTIONS, INC.
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
10022 LANTERN RD
SUITE 600
FISHERS, IN
ZIP 46037
Phone: (317) 566-9846
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FIRSTSOURCE LABORATORY SOLUTIONS, INC. is a clinical medical laboratory in Fishers, IN. The provider is (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. FIRSTSOURCE LABORATORY SOLUTIONS, INC. NPI is 1255369906. The provider is registered as an organization entity type.

The provider's business location address is:

10022 LANTERN RD
SUITE 600
FISHERS, IN
ZIP 46037-601
Phone: (317) 566-9846
Fax: (317) 566-9847

The provider's authorized official is Kimberely Graddy .
The authorized official title is President and has the following contact phone number (317) 566-9846.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory01040224AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000345223OTHERINDIANABLUE SHIELD PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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