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WILLIAMS PERSONALIZED CARE LLC
NPI 1417766742
Family Medicine in Lafayette, IN

Active since January 02, 2025CLIA 15D2317799 · Waiver
2525 SOUTH ST STE A, LAFAYETTE, IN 47904(765) 807-2320(765) 807-2330 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Williams Personalized Care Llc NPPES

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

WILLIAMS PERSONALIZED CARE LLC (NPI 1417766742) is a healthcare organization registered as a family medicine in Lafayette, Indiana and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Mark Henry Williams, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1417766742
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILLIAMS PERSONALIZED CARE LLC
Location Address2525 SOUTH ST STE ALafayette, IN 47904-3028
Mailing Address3200 South St Unit 3Lafayette, IN 47904-3185 · (765) 366-5776 · Fax (765) 807-2330
Phone(765) 807-2320
Fax(765) 807-2330
Organization SubpartNo
Authorized OfficialMark Henry WilliamsPhysician/owner · (765) 807-2320
Enumeration DateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1417766742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2525 SOUTH ST STE A, Lafayette, IN 47904
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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

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 15D2317799

Williams Personalized Care, LLC · Lafayette, IN
Active · expires Jan 30, 2027
CLIA Number15D2317799
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorMark H. Williams
Laboratory Phone(765) 809-2320
Laboratory LocationWilliams Personalized Care, LLC2525 South St, Ste A, Lafayette, IN 47904
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Williams Personalized Care LLC's NPI number?

The NPI number for Williams Personalized Care LLC is 1417766742. It was assigned to this organization in the NPPES registry on January 2, 2025.

Where is Williams Personalized Care LLC located?

Williams Personalized Care LLC is located at 2525 South St Ste A, Lafayette, IN 47904. The listed phone number is (765) 807-2320.

What is Williams Personalized Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Williams Personalized Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2317799) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Williams Personalized Care LLC was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.