Medical Diagnostic Services LLP
Pathology, Anatomic Pathology & Clinical Pathology in Lafayette, IN. Organization (NPI-2).
Details
- NPI
- 1790783074
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Diagnostic Services LLP
- Organization subpart
- No
- Enumeration date
- Jul 12, 2005
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | – | IN | Yes |
Practice location
2400 South StLafayette, IN 47904-3027
Phone 765-448-4319 · Fax 765-448-2921
Mailing address
Po Box 5628Lafayette, IN 47903-5628
Phone 765-448-4319 · Fax 765-448-2921
Authorized official
Mario Rolando Contreras
Partner
7654484319
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Anatomic Pathology & Clinical Pathology Physician providers in Lafayette, IN
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All 11 Anatomic Pathology & Clinical Pathology Physician providers in Lafayette · All 3,396 providers in Lafayette
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