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SOTHLAKE CHILDREN'S CLINIC, LLC
NPI 1023380342
Pediatrics in Merrillville, IN

Active since February 01, 2012CLIA 15D0674236 · Microscopy
8300 BROADWAY, SUITE C, MERRILLVILLE, IN 46410(219) 738-1916(219) 736-5685 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sothlake Children's Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOTHLAKE CHILDREN'S CLINIC, LLC (NPI 1023380342) is a healthcare organization registered as a pediatrics in Merrillville, Indiana and active in the NPI registry since February 2012. The organization holds a CLIA Microscopy certificate valid through August 3, 2026 and lists Srikietr Dhana, Owner, as its authorized official.

NPPES Registry Identity

NPI1023380342
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOTHLAKE CHILDREN'S CLINIC, LLC
Location Address8300 BROADWAY, SUITE CMerrillville, IN 46410-8602
Mailing Address8300 Broadway, Suite CMerrillville, IN 46410-8602 · (219) 738-1916 · Fax (219) 736-5685
Phone(219) 738-1916
Fax(219) 736-5685
Organization SubpartNo
Authorized OfficialSrikietr DhanaOwner · (219) 738-1916
Enumeration DateFebruary 1, 2012
✔ NPI 1023380342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01025756
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8300 BROADWAY, Merrillville, IN 46410
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Other Identifiers 1

Medicaid100360530AIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0674236

Southlake Children's Clinic LLC · Merrillville, IN
Active · expires Aug 3, 2026
CLIA Number15D0674236
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorSrikietr Dhana
Laboratory Phone(219) 738-1916
Laboratory LocationSouthlake Children's Clinic LLC504 E 86th Ave, Merrillville, IN 46410
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SRIKIETR DHANA MD
Pediatrics
8300 BROADWAY, SUITE C
MERRILLVILLE, IN 46410
Lake County (219) 738-1916
DR. ANN M LAFRANCE PSY.D., HSPP
Psychologist (Clinical)
8300 BROADWAY, SUITE F1
MERRILLVILLE, IN 46410
Lake County (219) 736-1000
DR. FLAVIO VEGA PSYD
Psychologist (Clinical)
8300 BROADWAY, F1
MERRILLVILLE, IN 46410
Lake County (219) 736-1000
DARLENE SHARON BARNES PSYD
Psychologist
8300 BROADWAY, SUITE F1
MERRILLVILLE, IN 46410
Lake County (219) 736-1000
JENNIFER L VICKERS MSW
Social Worker (Clinical)
8300 BROADWAY, SUITE F1
MERRILLVILLE, IN 46410
Lake County (219) 736-1000
INTERVENTIONAL CLINICS OF AMERICA LLC
Clinic/Center (Multi-Specialty)
8300 BROADWAY, SUITE A1
MERRILLVILLE, IN 46410
Lake County (219) 779-8346
CM SUNSHINE HOME HEALTHCARE, INC.
Home Health
8300 BROADWAY, SUITE H2
MERRILLVILLE, IN 46410
Lake County (219) 472-0233
SAMANTHA SKOCZYLAS PSYD
Psychologist
8300 BROADWAY, SUITE F1
MERRILLVILLE, IN 46410
Lake County (219) 736-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sothlake Children's Clinic, LLC's NPI number?

The NPI number for Sothlake Children's Clinic, LLC is 1023380342. It was assigned to this organization in the NPPES registry on February 1, 2012.

Where is Sothlake Children's Clinic, LLC located?

Sothlake Children's Clinic, LLC is located at 8300 Broadway Suite C, Merrillville, IN 46410. The listed phone number is (219) 738-1916.

What is Sothlake Children's Clinic, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Sothlake Children's Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0674236) is associated with this NPI, valid through August 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sothlake Children's Clinic, LLC was last updated on February 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.