MIDWEST EXPRESS CARE 4 LLC
NPI 1255178125
Clinic/Center - Urgent Care in Merrillville, IN

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

Active since July 09, 2024CLIA Certified · 2 labs

6097 BROADWAY, MERRILLVILLE, IN 46410(219) 758-5152(219) 444-4396 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Midwest Express Care 4 Llc NPPES

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

MIDWEST EXPRESS CARE 4 LLC (NPI 1255178125) is a healthcare organization registered as an urgent care in Merrillville, Indiana and active in the NPI registry since July 2024. The organization holds 2 active CLIA laboratory certificates and lists Jennifer Baty, Cc Specialist Lead, as its authorized official.

NPPES Registry Identity

NPI1255178125

Entity TypeOrganization

Primary Taxonomy261QU0200X

Legal Business NameMIDWEST EXPRESS CARE 4 LLC

Location Address6097 BROADWAYMerrillville, IN 46410-2619

Mailing AddressPo Box 775342Chicago, IL 60677-5342

Phone(219) 758-5152

Fax(219) 444-4396

Organization SubpartNo

Authorized OfficialJennifer BatyCc Specialist Lead · (605) 789-6574

Enumeration DateJuly 9, 2024

NPPES CertifiedJuly 9, 2024

✔ NPI 1255178125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities

Taxonomy Code261QU0200X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

6097 BROADWAY, Merrillville, IN 46410

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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 Waiver 15D2302807

Midwest Express Care 4, LLC · Merrillville, IN

Active · expires Apr 15, 2028

CLIA Number15D2302807

Laboratory TypeUrgent Care

Certificate Effective DateApril 16, 2026

Certificate Expiration DateApril 15, 2028

Laboratory DirectorDr. Michele Keller

Laboratory Phone(219) 758-5152

Laboratory LocationMidwest Express Care 4, LLC6097 Broadway, Merrillville, IN 46410

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2161074

Midwest Express Care 4 LLC · Merrillville, IN

Active · expires Jan 24, 2027

CLIA Number15D2161074

Laboratory TypeUrgent Care

Certificate Effective DateJanuary 25, 2025

Certificate Expiration DateJanuary 24, 2027

Laboratory DirectorRandall R. Chube

Laboratory Phone(219) 707-5276

Laboratory LocationMidwest Express Care 4 LLC5043 W 81st Ave, Merrillville, IN 46410

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 6

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

JACQUENETTE LYNN GARLIN

Pharmacist