PROLIFIC DIAGNOSTICS
NPI 1376300608
Phlebology in Brownsburg, IN

Active since March 04, 2024CLIA 15D2323270 · Waiver
23 MOTIF BLVD STE 101, BROWNSBURG, IN 46112(317) 735-6677 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Phlebology
  • CLIA Number: 15D2323270
  • CLIA Cert. Type: Other - MOBILE PHLEBOTMY SERVICE
  • CLIA Exp. Date: 05-04-2027

About PROLIFIC DIAGNOSTICS

This page provides the complete NPI Profile along with additional information for Prolific Diagnostics, a provider established in Brownsburg, Indiana operating as a Phlebology. The healthcare provider is registered in the NPI registry with number 1376300608 assigned on March 2024. The practitioner's primary taxonomy code is 202K00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Candace Perry Phlebotomist (Owner)

NPI
1376300608 Verify this NPI
Provider Name
PROLIFIC DIAGNOSTICS
Entity Type
Organization
Location Address
23 MOTIF BLVD STE 101 BROWNSBURG, IN 46112
Location Phone
(317) 735-6677
Mailing Address
23 MOTIF BLVD STE 101 BROWNSBURG, IN 46112
Mailing Phone
(317) 735-6677
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2024
Last Update Date
03-04-2024
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Phlebology

Taxonomy Code
202K00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CANDACE PERRY PHLEBOTOMIST

Authorized Official Title
OWNER
Authorized Official Phone
(317) 735-6677

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2323270
Facility Type
Other - MOBILE PHLEBOTMY SERVICE
Certificate Effective Date
May 05, 2025
Certificate Expiration Date
May 04, 2027
Laboratory Director
CANDACE L. PERRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prolific Diagnostics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PROLIFIC DIAGNOSTICS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Technician, Pathology (Phlebotomy)
23 MOTIF BLVD STE 101
BROWNSBURG, IN 46112

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376300608, enumerated as an "organization" on March 04, 2024.

The provider is located at 23 MOTIF BLVD STE 101 BROWNSBURG, IN 46112 and the phone number is (317) 735-6677.

Phlebology with taxonomy code 202K00000X.