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NORTHWEST CENTER MEDICAL SERVICES CORP NPI 1235399726


NPI Information

NPI: 1235399726
Provider Name: NORTHWEST CENTER MEDICAL SERVICES CORP
Classification: Medical Genetics - 207SC0300X
Entity Type: Organization

Specialization: Clinical Cytogenetics

Address:
3400 BROADWAY
GARY, IN
ZIP 46408
Phone: (219) 980-6699
Get Directions

NORTHWEST CENTER MEDICAL SERVICES CORP is a clinical cytogenetics medical genetics in Gary, IN. The provider is a clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. NORTHWEST CENTER MEDICAL SERVICES CORP NPI is 1235399726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3400 BROADWAY
GARY, IN
ZIP 46408-101
Phone: (219) 980-6699
Fax: (219) 980-6693

The provider's authorized official is Dawn Ilgenfritz .
The authorized official title is Secretary, Board Of Directors and has the following contact phone number (219) 980-6699.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 6/10/2008.


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
1207SC0300XMedical GeneticsClinical Cytogenetics01034266AINDIANAYes

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
1982900MEDICARE PININDIANA
2100471020AMEDICAIDINDIANA
3B29311MEDICARE UPININDIANA

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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