CARYSIA ROBERTS LAB DIRECTOR
NPI 1295496578
Pathology - Clinical Laboratory Director, Non-physician in Gary, IN

Active since January 07, 2022

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carysia Roberts Lab Director NPPES

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

CARYSIA ROBERTS LAB DIRECTOR (NPI 1295496578) is an individual clinical laboratory director, non-physician in Gary, Indiana and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1295496578
Entity TypeIndividualFemale
Primary Taxonomy247ZC0005X
Provider Legal NameCARYSIA ROBERTSCredential: LAB DIRECTOR
Location Address720 W 5TH AVEGary, IN 46402-1808
Mailing Address804 Maryland StGary, IN 46402-2545 · (219) 248-4912
Sole ProprietorYes
Enumeration DateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
NPI 1295496578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247ZC0005X
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
720 W 5TH AVE, Gary, IN 46402

Other Identifiers 4

Other1984IL · Goverment
Other1984IN · Goverment
Medicaid1984IL
Medicaid1984IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Clinic/Center (Primary Care)
720 W 5TH AVE
GARY, IN 46402
Podiatrist (Foot & Ankle Surgery)
720 W 5TH AVE
GARY, IN 46402
Specialist
720 W 5TH AVE
GARY, IN 46402
Podiatrist
720 W 5TH AVE
GARY, IN 46402
Technician, Pathology (Phlebotomy)
720 W 5TH AVE
GARY, IN 46402
Specialist
720 W 5TH AVE, GARY
GARY, IN 46402

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 Carysia Roberts's NPI number?

The NPI number for Carysia Roberts is 1295496578. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Where is Carysia Roberts located?

Carysia Roberts practices at 720 W 5th Ave, Gary, IN 46402. The listed phone number is (219) 248-4912.

What is Carysia Roberts's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Carysia Roberts was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.