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EVERSIDE HEALTH, LLC
NPI 1497306310
Clinic/Center in South Bend, IN

Active since September 23, 2019CLIA 15D2176056 · Microscopy
3371 W CLEVELAND ROAD EXT STE 120, SOUTH BEND, IN 46628(574) 218-6700(574) 218-6708 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Sep 15, 2021, Dec 17, 2020 and 1 more (4 updates tracked since 2019).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1497306310) is a healthcare organization registered as a clinic/center in South Bend, Indiana and active in the NPI registry since September 2019. The organization holds a CLIA Microscopy certificate valid through March 29, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1497306310
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address3371 W CLEVELAND ROAD EXT STE 120South Bend, IN 46628-9780
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(574) 218-6700
Fax(574) 218-6708
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateSeptember 23, 2019
Last NPPES UpdateAugust 11, 20224 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1497306310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3371 W CLEVELAND ROAD EXT STE 120, South Bend, IN 46628
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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 for Provider-Performed Microscopy Procedures (PPMP) 15D2176056

Everside Health Ibew Local 153/Ua Local 172 South Bend · South Bend, IN
Active · expires Mar 29, 2028
CLIA Number15D2176056
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorRebecca Rockers
Laboratory Phone(574) 218-6700
Laboratory LocationEverside Health Ibew Local 153/Ua Local 172 South Bend3371 W Cleveland Road Suite 120, South Bend, IN 46628
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

DR. REBECCA SUSANNE ROCKERS M.D.
Family Medicine
3371 W CLEVELAND ROAD EXT STE 120
SOUTH BEND, IN 46628
St. Joseph County (574) 219-6700
EVERSIDE HEALTH LLC
Family Medicine
3371 W CLEVELAND ROAD EXT STE 120
SOUTH BEND, IN 46628
St. Joseph County (574) 218-6700

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1497306310. It was assigned to this organization in the NPPES registry on September 23, 2019.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 3371 W Cleveland Road Ext Ste 120, South Bend, IN 46628. The listed phone number is (574) 218-6700.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D2176056) is associated with this NPI, valid through March 29, 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 Everside Health, LLC was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.