PAVILION PEDIATRIC CENTER, LLC
NPI 1063887438
Pediatrics in Muncie, IN
About Pavilion Pediatric Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAVILION PEDIATRIC CENTER, LLC (NPI 1063887438), doing business as Rector Pediatrics, is a healthcare organization registered as a pediatrics in Muncie, Indiana and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Nicole Rector, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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.
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
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
- 15D0360049
- Facility Type
- Physician Office
- Certificate Effective Date
- July 24, 2025
- Certificate Expiration Date
- July 23, 2027
- Laboratory Director
- PRAKASH BHOOPALAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pavilion Pediatric Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063887438, enumerated as an "organization" on December 10, 2015.
The provider is located at 3711 N. EVERBROOK LANE MUNCIE, IN 47304 and the phone number is (765) 231-9494.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
