South Bend Medical Foundation, Inc in South Bend - Clinical Medical Laboratory
South Bend Medical Foundation, Inc - NPI 1649241084
South Bend Medical Foundation, Inc is a Clinical Medical Laboratory in South Bend, Indiana. South Bend Medical Foundation, Inc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for South Bend Medical Foundation, Inc is 1649241084. The last update date is 2023-12-05.
South Bend Medical Foundation, Inc's current location address is 530 N Lafayette Blvd, South Bend, Indiana. You can contact this provider via phone number 5742045206 and fax number 5742450339. The mailing address for South Bend Medical Foundation, Inc is 530 N Lafayette Blvd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Bend Medical Foundation, Inc |
|---|---|
| Address | 530 N Lafayette Blvd, South Bend, Indiana |
| Phone Number | 5742045206 |
| Fax Number | 5742450339 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Pipp Terry |
| Credentials | MD |
| Telephone Number | 5742347176 |
NPI Number Detail
| NPI Number | 1649241084 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2023-12-05 |
Provider Mailing Address Detail
| Address | 530 N Lafayette Blvd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466011004 |
| Phone Number | 5742045206 |
| Fax Number | 5742450339 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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Definition: (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 purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100112700A | IN | -- | |
| CB4553 | RAILROAD MEDICARE | ||
| 1H1003494 | TRICARE | ||
| 97080 | ANTHEM | ||
| 169513624 | MI | -- | |
| 690164004 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to South Bend Medical Foundation, Inc by the Centers for Medicare & Medicaid Services?
The South Bend Medical Foundation, Inc has been assigned the NPI (National Provider Identifier) 1649241084. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where South Bend Medical Foundation, Inc's facilities are geographically located?
The facilities of South Bend Medical Foundation, Inc are physically situated at the following location: 530 N Lafayette Blvd, South Bend, IN, 466011004.
What is South Bend Medical Foundation, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The South Bend Medical Foundation, Inc's area of specialization is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649241084 to South Bend Medical Foundation, Inc?
The South Bend Medical Foundation, Inc received its 1649241084 assignment from the Centers for Medicare & Medicaid Services on 2006-02-01.
When was the information regarding South Bend Medical Foundation, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to South Bend Medical Foundation, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-12-05.