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HOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC
NPI 1336478890
Clinic/Center - Primary Care in Indianapolis, IN

Active since December 12, 2009CLIA 15D2002348 · Waiver
8424 NAAB RD, SUITE 3P, INDIANAPOLIS, IN 46260(317) 608-6090(317) 608-6095 Get Directions Write a Review

NPPES record last updated: December 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holistic Medical And Wellness Center Of In, Llc NPPES

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

HOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC (NPI 1336478890) is a healthcare organization registered as a primary care in Indianapolis, Indiana and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Randee L Miller, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1336478890
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHOLISTIC MEDICAL AND WELLNESS CENTER OF IN, LLC
Location Address8424 NAAB RD, SUITE 3PIndianapolis, IN 46260-5918
Mailing Address8424 Naab Rd, Suite 3pIndianapolis, IN 46260-5918 · (317) 608-6090 · Fax (317) 608-6095
Phone(317) 608-6090
Fax(317) 608-6095
Organization SubpartNo
Authorized OfficialRandee L MillerNurse Practitioner/owner · (317) 608-6090
Enumeration DateDecember 12, 2009
✔ NPI 1336478890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IN · 71001160B
8424 NAAB RD, Indianapolis, IN 46260
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINP53365IN
Medicaid200840870IN
Medicare PIN220270BIN

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 Waiver 15D2002348

Holistic Medical & Wellness Center Of Indiana · Indianapolis, IN
Active · expires Jan 13, 2028
CLIA Number15D2002348
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorRandee L. Miller
Laboratory Phone(317) 608-6090
Laboratory LocationHolistic Medical & Wellness Center Of Indiana8424 Naab Rd, Ste 3P, Indianapolis, IN 46260
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

LAWRENCE JOHN BORN MD
Internal Medicine (Gastroenterology)
8424 NAAB RD, #3-J
INDIANAPOLIS, IN 46260
Marion County (317) 872-7396
FREDERICK DANIEL LANDIS III MD
Internal Medicine (Gastroenterology)
8424 NAAB RD, 3-J
INDIANAPOLIS, IN 46260
Marion County (317) 872-7396
JOHN L GEORGE, MD
Surgery
8424 NAAB RD, SUITE #2F
INDIANAPOLIS, IN 46260
Marion County (317) 870-0480
DARYL FOSTER DAUGHERTY MD
Internal Medicine (Gastroenterology)
8424 NAAB RD, #3-J
INDIANAPOLIS, IN 46260
Marion County (317) 872-7396
MARK JOSEPH LYBIK MD
Internal Medicine (Gastroenterology)
8424 NAAB RD, #3 J
INDIANAPOLIS, IN 46260
Marion County (317) 872-7396
LISA RENEE SCHOENROCK CRNA
Nurse Anesthetist, Certified Registered
8424 NAAB RD, SUITE 3 J
INDIANAPOLIS, IN 46260
Marion County (248) 930-7683
THOMAS M BROGAN MD
Family Medicine
8424 NAAB RD, STE. 1C
INDIANAPOLIS, IN 46260
Marion County (317) 875-7221
ADULT MEDICINE CENTER
Internal Medicine
8424 NAAB RD, SUITE 3P
INDIANAPOLIS, IN 46260
Marion County (317) 802-9912

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 Holistic Medical And Wellness Center Of In, LLC's NPI number?

The NPI number for Holistic Medical And Wellness Center Of In, LLC is 1336478890. It was assigned to this organization in the NPPES registry on December 12, 2009.

Where is Holistic Medical And Wellness Center Of In, LLC located?

Holistic Medical And Wellness Center Of In, LLC is located at 8424 Naab Rd Suite 3P, Indianapolis, IN 46260. The listed phone number is (317) 608-6090.

What is Holistic Medical And Wellness Center Of In, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Holistic Medical And Wellness Center Of In, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2002348) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Holistic Medical And Wellness Center Of In, LLC was last updated on December 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.