FLOURISH HEALTH GROUP IN LLC
NPI 1467168252
Clinic/Center - Multi-Specialty in Dyer, IN

Q: What is Flourish Health Group In LLC's NPI number?

The NPI number for Flourish Health Group In LLC is 1467168252. It was assigned to this organization in the NPPES registry on January 25, 2023.

Q: What is Flourish Health Group In LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since January 25, 2023CLIA 15D2291159 · Waiver

1160 JOLIET ST STE 204, DYER, IN 46311(212) 300-7308(212) 300-7308 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2026, Dec 17, 2025, Jan 25, 2023 (3 updates tracked since 2023).

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About Flourish Health Group In Llc NPPES

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

FLOURISH HEALTH GROUP IN LLC (NPI 1467168252) is a healthcare organization registered as a multi-specialty in Dyer, Indiana and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through October 4, 2027, maintains 3 additional practice locations, and lists Alex Pavicevic, Manager, as its authorized official.

NPPES Registry Identity

NPI1467168252

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameFLOURISH HEALTH GROUP IN LLC

Location Address1160 JOLIET ST STE 204Dyer, IN 46311-3000

Mailing Address1160 Joliet St Ste 204Dyer, IN 46311-3000 · (212) 300-7308 · Fax (212) 300-7308

Phone(212) 300-7308

Fax(212) 300-7308

Organization SubpartNo

Authorized OfficialAlex PavicevicManager · (212) 300-7308

Enumeration DateJanuary 25, 2023

Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1467168252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

1160 JOLIET ST STE 204, Dyer, IN 46311

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Secondary Practice Locations 3

Location 18081 Randolph St Ste AHobart, IN 46342-7068 · Phone (800) 799-2273

Location 2305 W University DrMishawaka, IN 46545-1100 · Phone (855) 553-2273

Location 37403 COLDWATER RDFORT WAYNE, IN 46825-3401 · Phone (725) 272-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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 15D2291159

Flourish Health Group · Dyer, IN

Active · expires Oct 4, 2027

CLIA Number15D2291159

Laboratory TypeAmbulatory Infusion Cente

Certificate Effective DateOctober 5, 2025

Certificate Expiration DateOctober 4, 2027

Laboratory DirectorAshley Obannon

Laboratory Phone(800) 799-2273

Laboratory LocationFlourish Health Group1160 Joliet Street, Suite 204, Dyer, IN 46311

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. ASHLEY B. O'BANNON MD

Pathology (Anatomic Pathology & Clinical Pathology)

1160 JOLIET ST STE 204
DYER, IN 46311

Lake County (800) 799-2273

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 Flourish Health Group In LLC's NPI number?

The NPI number for Flourish Health Group In LLC is 1467168252. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Flourish Health Group In LLC located?

Flourish Health Group In LLC is located at 1160 Joliet St Ste 204, Dyer, IN 46311. The listed phone number is (212) 300-7308.

What is Flourish Health Group In LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Flourish Health Group In LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2291159) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Flourish Health Group In LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Flourish Health Group In LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Flourish Health Group In LLC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.