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LUTHERAN HOSPITAL
NPI 1124157961
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fort Wayne, IN

Active since March 05, 2007CLIA Certified · 2 labs
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 435-7001(260) 435-7632 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lutheran Hospital NPPES

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

LUTHERAN HOSPITAL (NPI 1124157961) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fort Wayne, Indiana and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Rebecca Hurley, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1124157961
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameIOM HEALTH SYSTEM LP
Location Address7950 W JEFFERSON BLVDFort Wayne, IN 46804-4140
Mailing Address7950 W Jefferson BlvdFort Wayne, IN 46804-4140 · (260) 435-7001 · Fax (260) 435-7632
Phone(260) 435-7001
Fax(260) 435-7632
Organization SubpartNo
Authorized OfficialRebecca HurleySenior Vice President · (214) 473-3993
Enumeration DateMarch 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124157961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
7950 W JEFFERSON BLVD, Fort Wayne, IN 46804
Open in Google Maps ↗

Other Names 1

Doing Business AsLutheran Hospital

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 15D0358291

Lutheran Hospital Of Indiana · Fort Wayne, IN
Active · expires Feb 27, 2027
CLIA Number15D0358291
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorMarigny Roberts
Laboratory Phone(260) 435-7001
Laboratory LocationLutheran Hospital Of Indiana7950 West Jefferson Boulevard, Fort Wayne, IN 46804
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 15D2046556

Lutheran Hospital Cardiopulmonary Rehab · Fort Wayne, IN
Active · expires Sep 5, 2026
CLIA Number15D2046556
Laboratory TypeHospital
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorSteven Jones
Laboratory Phone(260) 435-7154
Laboratory LocationLutheran Hospital Cardiopulmonary Rehab7916 W Jefferson Blvd, Fort Wayne, IN 46804
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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.

DR. ANURADHA G BOMMAKANTI M.D.
Internal Medicine (Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
VANESKA BOTTINO DA COSTA M.D.
Pediatrics (Pediatric Critical Care Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
MISS JACQUELINE SHEPARD
Physician Assistant
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7001
EMERGENCY PROFESSIONALS OF INDIANA, P.C.
Emergency Medicine
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-2699
PAMELA THOMAS MD
Pediatrics
7950 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804
Allen County (260) 432-2297
DR. AHDY MESSIHA M.D.
Radiology (Diagnostic Radiology)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-1568
LESLIE LEINS PHARMD
Pharmacist (Emergency Medicine)
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 435-7734
GORDON HENRY BOKHART PHARM D.
Pharmacist
7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT
FORT WAYNE, IN 46804
Allen County (260) 435-7718

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 Iom Health System LP's NPI number?

The NPI number for Iom Health System LP is 1124157961. It was assigned to this organization in the NPPES registry on March 5, 2007. The provider is doing business as Lutheran Hospital.

Where is Iom Health System LP located?

Iom Health System LP is located at 7950 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 435-7001.

What is Iom Health System LP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Iom Health System LP hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Iom Health System LP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.