NPI 1831844539
Healthcare Port
Practice location
- Address
- 720 W 5th Ave, Gary, IN 46402-1808
- Phone
- (219) 248-4912
- Mailing address
- 804 Maryland St, Gary, IN 46402-2545
Authorised official
- Name
- Carysia Roberts
- Title
- Lab Coordinator/Director
- Phone
- (219) 248-4912
Registered specialties (4)
Phlebotomy Technician
Primary
Emergency Medical Services (Emergency Medicine) Physician
Clinic/Center
Adult Care Home Facility
Registry record
- NPI
- 1831844539
- Entity type
- Organization
- NPI issued
- 21 Feb 2022
- Record last updated
- 21 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.