ADVANCED INTERNAL MEDICINE OF MICHIANA, LLC
NPI 1194288860
Clinic/Center - Primary Care in Mishawaka, IN
About Advanced Internal Medicine Of Michiana, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED INTERNAL MEDICINE OF MICHIANA, LLC (NPI 1194288860) is a healthcare organization registered as a primary care in Mishawaka, Indiana and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Amy Hurt, Practice Manager, as its authorized official.Information from the official NPPES registry record, last updated September 30, 2024.
NPPES Registry Identity
★ Primary Specialty
Also on File with NPPES
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
- 15D2163219
- Facility Type
- Physician Office
- Certificate Effective Date
- March 11, 2025
- Certificate Expiration Date
- March 10, 2027
- Laboratory Director
- DAHAN HUSSEIN AL-FADHL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Advanced Internal Medicine Of Michiana, 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.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194288860, enumerated as an "organization" on April 10, 2019.
The provider is located at 3809 N MAIN ST STE 100 MISHAWAKA, IN 46545 and the phone number is (574) 520-1700.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
