INTERDISCIPLINARY DIAGNOSTIC AND EVALUATION CENTER, INC.
NPI 1093938102
Clinic/Center - Developmental Disabilities in Fort Wayne, IN

Q: What is Interdisciplinary Diagnostic And Evaluation Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since April 10, 2007

3030 LAKE AVE, SUITE 7, FORT WAYNE, IN 46805(260) 422-2838 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Interdisciplinary Diagnostic And Evaluation Center, Inc. NPPES

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

INTERDISCIPLINARY DIAGNOSTIC AND EVALUATION CENTER, INC. (NPI 1093938102) is a healthcare organization registered as a developmental disabilities in Fort Wayne, Indiana and active in the NPI registry since April 2007. The organization lists Marilyn Nathan, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1093938102

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameINTERDISCIPLINARY DIAGNOSTIC AND EVALUATION CENTER, INC.

Location Address3030 LAKE AVE, SUITE 7Fort Wayne, IN 46805-5428

Mailing Address3030 Lake Ave, Suite 7Fort Wayne, IN 46805-5428 · (260) 422-2838

Phone(260) 422-2838

Organization SubpartNo

Authorized OfficialMarilyn NathanClinical Director · (765) 284-9573

Enumeration DateApril 10, 2007

Last NPPES UpdateJune 17, 2008

✔ NPI 1093938102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

3030 LAKE AVE, Fort Wayne, IN 46805

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Other Providers at the Same Location NPPES 19

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

JAMES A SHUPE JR. DDS

Dentist (Pediatric Dentistry)

3030 LAKE AVE, SUITE 15
FORT WAYNE, IN 46805

Allen County (260) 422-8419

THOMAS P VAN DEN DRIESSCHE M.D.

Family Medicine

3030 LAKE AVE, SUITE32
FORT WAYNE, IN 46805

Allen County (260) 424-3134

LITTLE TURTLE PEDIATRICS, P.C.

Pediatrics (Adolescent Medicine)

3030 LAKE AVE, SUITE 10
FORT WAYNE, IN 46805

Allen County (260) 422-2448

JAMES A SHUPE DDS, DENTISTRY FOR CHILDREN, INC

Dentist (Pediatric Dentistry)

3030 LAKE AVE, SUITE 15
FORT WAYNE, IN 46805

Allen County (260) 422-8419

MICHAEL FELIX BARILE D.C.,P.T.

Physical Therapist

3030 LAKE AVE, 26
FORT WAYNE, IN 46805

Allen County (260) 420-4400

JENNIFER A CHAPMAN P.T.

Physical Therapist

3030 LAKE AVE, SUITE 24
FORT WAYNE, IN 46805

Allen County (260) 424-8830

DRS. NELSON & MENON

Allergy & Immunology

3030 LAKE AVE, SUITE 27
FORT WAYNE, IN 46805

Allen County (260) 422-5569

MRS. NORA MARIE STEWART M.A.F.-AAA

Audiologist-Hearing Aid Fitter

3030 LAKE AVE, SUITE 23
FORT WAYNE, IN 46805

Allen County (260) 485-1231

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 Interdisciplinary Diagnostic And Evaluation Center, Inc.'s NPI number?

The NPI number for Interdisciplinary Diagnostic And Evaluation Center, Inc. is 1093938102. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Interdisciplinary Diagnostic And Evaluation Center, Inc. located?

Interdisciplinary Diagnostic And Evaluation Center, Inc. is located at 3030 Lake Ave Suite 7, Fort Wayne, IN 46805. The listed phone number is (260) 422-2838.

What is Interdisciplinary Diagnostic And Evaluation Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Interdisciplinary Diagnostic And Evaluation Center, Inc. was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.