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PROACTIVE MD VEEDERSBURG HEALTH CENTER
NPI 1073066056
Clinic/Center - Primary Care in Veedersburg, IN

Active since July 26, 2016CLIA 42D2349326 · Waiver
981 E STATE ST STE A, VEEDERSBURG, IN 47987(812) 645-1892 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Proactive Md Veedersburg Health Center NPPES

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

PROACTIVE MD VEEDERSBURG HEALTH CENTER (NPI 1073066056) is a healthcare organization registered as a primary care in Veedersburg, Indiana and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through August 18, 2028 and lists Jan Hopkins, Assoc. Ops Mrg, as its authorized official.

NPPES Registry Identity

NPI1073066056
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MSO, LLC
Location Address981 E STATE ST STE AVeedersburg, IN 47987-8026
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207
Phone(812) 645-1892
Organization SubpartNo
Authorized OfficialJan HopkinsAssoc. Ops Mrg · (864) 501-0751
Enumeration DateJuly 26, 2016
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1073066056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
981 E STATE ST STE A, Veedersburg, IN 47987
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Other Names 1

Doing Business AsProactive Md Veedersburg Health Center

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 of Waiver 42D2349326

Proactive MD · Greenville, SC
Active · expires Aug 18, 2028
CLIA Number42D2349326
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 19, 2026
Certificate Expiration DateAugust 18, 2028
Laboratory DirectorMark A. Kemble
Laboratory Phone(864) 501-0751
Laboratory LocationProactive MD86 Villa Rd Suite 100, Greenville, SC 29615
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Proactive Mso, LLC's NPI number?

The NPI number for Proactive Mso, LLC is 1073066056. It was assigned to this organization in the NPPES registry on July 26, 2016. The provider is doing business as Proactive MD Veedersburg Health Center.

Where is Proactive Mso, LLC located?

Proactive Mso, LLC is located at 981 E State St Ste A, Veedersburg, IN 47987. The listed phone number is (812) 645-1892.

What is Proactive Mso, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Proactive Mso, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2349326) is associated with this NPI, valid through August 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Proactive Mso, LLC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.