PROACTIVE MSO, LLC
NPI 1366169237
Clinic/Center - Primary Care in Monticello, IN
About Proactive Mso, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROACTIVE MSO, LLC (NPI 1366169237), doing business as Proactive Md Mase Monticello Health Center, is a healthcare organization registered as a primary care in Monticello, Indiana and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Jan Maria Hopkins, Operations Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 15D2182128
Proactive MD - Monticello · Monticello, INOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Proactive Mso, LLC's NPI number?
The NPI number for Proactive Mso, LLC is 1366169237. It was assigned to this organization in the NPPES registry on October 21, 2022. The provider is doing business as Proactive MD MASE Monticello Health Center.
Where is Proactive Mso, LLC located?
Proactive Mso, LLC is located at 303 N Main St, Monticello, IN 47960. The listed phone number is (574) 297-5527.
What is Proactive Mso, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Proactive Mso, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2182128) is associated with this NPI, valid through April 15, 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 Proactive Mso, LLC was last updated on October 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
