EVERSIDE HEALTH, LLC
NPI 1619513603
Clinic/Center - Health Service in Merrillville, IN

Q: What is Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1619513603. It was assigned to this organization in the NPPES registry on November 25, 2019.

Q: What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Active since November 25, 2019CLIA 15D2177999 · Waiver

2905 E 83RD PLACE, MERRILLVILLE, IN 46410(219) 501-0851 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 11, 2022, Sep 15, 2021, Nov 25, 2019 (3 updates tracked since 2019).

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About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1619513603) is a healthcare organization registered as a health service in Merrillville, Indiana and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through January 22, 2028 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1619513603

Entity TypeOrganization

Primary Taxonomy261QH0100X

Legal Business NameEVERSIDE HEALTH, LLC

Location Address2905 E 83RD PLACEMerrillville, IN 46410

Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916

Phone(219) 501-0851

Organization SubpartNo

Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546

Enumeration DateNovember 25, 2019

Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration

NPPES CertifiedAugust 11, 2022

✔ NPI 1619513603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities

Taxonomy Code261QH0100X

2905 E 83RD PLACE, Merrillville, IN 46410

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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 of Waiver 15D2177999

Everside Health LLC, Plumbers Local 210 · Merrillville, IN

Active · expires Jan 22, 2028

CLIA Number15D2177999

Laboratory TypeChronic Mgt

Certificate Effective DateJanuary 23, 2026

Certificate Expiration DateJanuary 22, 2028

Laboratory DirectorKenneth Sowinski

Laboratory Phone(201) 501-0851

Laboratory LocationEverside Health LLC, Plumbers Local 2102905 E 83rd Place, Merrillville, IN 46410

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1619513603. It was assigned to this organization in the NPPES registry on November 25, 2019.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 2905 E 83rd Place, Merrillville, IN 46410. The listed phone number is (219) 501-0851.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2177999) is associated with this NPI, valid through January 22, 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 4 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.