EVERSIDE HEALTH, LLC
NPI 1962008144
Clinic/Center - Health Service in Angola, IN

Active since December 11, 2020CLIA 15D2207850 · Waiver
511 N WAYNE ST, ANGOLA, IN 46703(260) 305-2622 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2026, Aug 12, 2022, Sep 15, 2021 and 1 more (4 updates tracked since 2020).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1962008144), doing business as Marathon Health, Angola In, is a healthcare organization registered as a health service in Angola, Indiana and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Karla Spivey, Central Support, as its authorized official.

NPPES Registry Identity

NPI1962008144
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address511 N WAYNE STAngola, IN 46703-1001
Mailing AddressPo Box 1433Portsmouth, NH 03802-1433
Organization SubpartNo
Authorized OfficialKarla SpiveyCentral Support · (866) 434-3255
Enumeration DateDecember 11, 2020
Last NPPES UpdateMarch 20, 20264 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
NPI 1962008144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
511 N WAYNE ST, Angola, IN 46703

Other Names 1

Doing Business AsMarathon Health, Angola In

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 15D2207850

Everside Health-Angola Clinic · Angola, IN
Active · expires Dec 30, 2026
CLIA Number15D2207850
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorTonya Grimme
Laboratory Phone(260) 305-2622
Laboratory LocationEverside Health-Angola Clinic511 N Wayne St, Angola, IN 46703
CLIA data matches this NPI record on: Address Name Phone
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 1962008144. It was assigned to this organization in the NPPES registry on December 11, 2020. The provider is doing business as Marathon Health, Angola IN.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 511 N Wayne St, Angola, IN 46703. The listed phone number is (260) 305-2622.

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 15D2207850) is associated with this NPI, valid through December 30, 2026. 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 March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.