FORT WAYNE MEDICAL LABORATORY CORPORATION
NPI 1285610733
Technician, Pathology - Medical Laboratory in Ft Wayne, IN

Active since December 16, 2005CLIA 15D0358154 · Accreditation
2470 LAKE AVE, FT WAYNE, IN 46805(260) 424-2195 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fort Wayne Medical Laboratory Corporation NPPES

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

FORT WAYNE MEDICAL LABORATORY CORPORATION (NPI 1285610733) is a healthcare organization registered as a medical laboratory in Ft Wayne, Indiana and active in the NPI registry since December 2005. The organization holds an CLIA Accreditation certificate valid through January 7, 2028 and lists Seung S Kim, Laboratory Director, as its authorized official.

NPPES Registry Identity

NPI1285610733
Entity TypeOrganization
Primary Taxonomy246RM2200X
Legal Business NameFORT WAYNE MEDICAL LABORATORY CORPORATION
Location Address2470 LAKE AVEFt Wayne, IN 46805-5406
Mailing Address2470 Lake AveFort Wayne, IN 46805-5406 · (260) 424-2195
Organization SubpartNo
Authorized OfficialSeung S KimLaboratory Director · (260) 373-3657
Enumeration DateDecember 16, 2005
Last NPPES UpdateMarch 1, 2012
NPI 1285610733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, Pathology · Medical LaboratoryTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RM2200X
License Licensed in IN · 50000070A
2470 LAKE AVE, Ft Wayne, IN 46805

Other Identifiers 2

Medicaid200402190AIN
Medicare ID-Type Unspecified982550IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Accreditation 15D0358154

Fort Wayne Medical Lab Corp · Fort Wayne, IN
Active · expires Jan 7, 2028
CLIA Number15D0358154
Laboratory TypeIndependent
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorMarzena Muller
Laboratory Phone(260) 424-2195
Laboratory LocationFort Wayne Medical Lab Corp2470 Lake Ave, Fort Wayne, IN 46805
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.

Areas of Expertise CMS Part B claims 13

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.

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision G0145
This is a procedure to check for abnormal cells in the lower part of the womb or the birth canal. Cells are collected in a special fluid and prepared in a thin layer. They are then examined by an automated system and manually reviewed by a doctor for accuracy.
331 services331 patients
Detection test by nucleic acid for human papillomavirus (hpv), high-risk types 87624
This test detects high-risk types of HPV, a common virus. It's done by analyzing a small sample of cells for the presence of HPV DNA. The aim is to identify any high-risk types early, as they may increase the risk of certain health issues.
271 services264 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
249 services68 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
224 services154 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
107 services23 patients
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician G0124
This is a routine health check where a sample of cells is collected from the lower region of the female reproductive system. The sample is preserved and prepared using automated technology for detailed examination. A doctor interprets the results to check for any abnormalities.
56 services56 patients

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 Fort Wayne Medical Laboratory Corporation's NPI number?

The NPI number for Fort Wayne Medical Laboratory Corporation is 1285610733. It was assigned to this organization in the NPPES registry on December 16, 2005.

Where is Fort Wayne Medical Laboratory Corporation located?

Fort Wayne Medical Laboratory Corporation is located at 2470 Lake Ave, Ft Wayne, IN 46805. The listed phone number is (260) 424-2195.

What is Fort Wayne Medical Laboratory Corporation's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Medical Laboratory, with taxonomy code 246RM2200X.

Does Fort Wayne Medical Laboratory Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 15D0358154) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fort Wayne Medical Laboratory Corporation accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Fort Wayne Medical Laboratory Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Wayne Medical Laboratory Corporation was last updated on March 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.