UWC- MERRILLVILLE
NPI 1003518598
Clinic/Center in Merrillville, IN
- Organization
- Clinic/Center
- CLIA Number: 15D2057763
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-22-2027
About UWC- MERRILLVILLE
This page provides the complete NPI Profile along with additional information for Uwc- Merrillville, a provider established in Merrillville, Indiana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1003518598 assigned on March 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Uwc- Merrillville. The authorized official of this NPI record is Erin Smith (Pharmacy Director)
- NPI
- 1003518598 Verify this NPI
- Provider Legal Name
- MARATHON HEALTH, LLC
- Other Organization Name
- UWC- MERRILLVILLE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 616 W 81ST AVE STE A MERRILLVILLE, IN 46410
- Location Phone
- (312) 421-1016
- Location Fax
- (219) 255-9588
- Mailing Address
- 616 W 81ST AVE STE A MERRILLVILLE, IN 46410
- Mailing Phone
- (312) 421-1016
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2023
- Last Update Date
- 08-16-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2057763
- Facility Type
- Physician Office
- Certificate Effective Date
- April 23, 2025
- Certificate Expiration Date
- April 22, 2027
- Laboratory Director
- THERESE HEENAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Uwc- Merrillville in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003518598, enumerated as an "organization" on March 20, 2023.
The provider is located at 616 W 81ST AVE STE A MERRILLVILLE, IN 46410 and the phone number is (312) 421-1016.
Clinic/Center with taxonomy code 261Q00000X.
