TWIN RIVERS MEDICAL LABORATORY, INC
NPI 1154326668
Clinical Medical Laboratory in Logansport, IN

Active since June 21, 2005CLIA 15D0647560 · Certificate of Compliance
902 W. BROADWAY, LOGANSPORT, IN 46947(574) 739-0004(574) 739-0105 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Twin Rivers Medical Laboratory, Inc NPPES

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

TWIN RIVERS MEDICAL LABORATORY, INC (NPI 1154326668) is a healthcare organization registered as a clinical medical laboratory in Logansport, Indiana and active in the NPI registry since June 2005. The organization holds a CLIA Certificate of Compliance certificate valid through March 11, 2027 and lists Connie Louellen Bostic, President, as its authorized official.

NPPES Registry Identity

NPI1154326668
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameTWIN RIVERS MEDICAL LABORATORY, INC
Location Address902 W. BROADWAYLogansport, IN 46947-2978
Mailing Address902 W. BroadwayLogansport, IN 46947-2978 · (574) 739-0004 · Fax (574) 739-0105
Fax(574) 739-0105
Organization SubpartNo
Authorized OfficialConnie Louellen BosticPresident · (574) 739-0004
Enumeration DateJune 21, 2005
Last NPPES UpdateAugust 27, 2007
NPI 1154326668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

902 W. BROADWAY, Logansport, IN 46947

Other Identifiers 1

Medicare PIN982870IN

Accepted Insurance

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 Compliance 15D0647560

Twin Rivers Medical Laboratory, Inc · Logansport, IN
Active · expires Mar 11, 2027
CLIA Number15D0647560
Laboratory TypeIndependent
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorDerrick Forchetti
Laboratory Phone(574) 739-0004
Laboratory LocationTwin Rivers Medical Laboratory, Inc902 W Broadway, Logansport, IN 46947
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 50

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge P9604
This service involves a healthcare professional traveling to collect necessary lab samples from patients who are homebound or in a nursing home. The travel allowance is a partial charge for the trip made to facilitate this service. It ensures medical care accessibility for all, regardless of mobility.
6,180 services955 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
6,160 services951 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
5,915 services1,566 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
4,407 services1,592 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
2,320 services937 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
1,893 services1,014 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154326668, enumerated as an "organization" on June 21, 2005.

The provider is located at 902 W. BROADWAY LOGANSPORT, IN 46947 and the phone number is (574) 739-0004.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.