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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROVIDENCE MEDICAL GROUP LLC
NPI 1982778080
Physiological Laboratory in Terre Haute, IN

Active since November 20, 2006
2723 S 7TH ST STE S, TERRE HAUTE, IN 47802(812) 232-8164(812) 242-1565 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 29, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Providence Medical Group Llc NPPES

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

PROVIDENCE MEDICAL GROUP LLC (NPI 1982778080) is a healthcare organization registered as a physiological laboratory in Terre Haute, Indiana and active in the NPI registry since November 2006. The organization lists George B Bittar, Director, as its authorized official.

NPPES Registry Identity

NPI1982778080
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NamePROVIDENCE MEDICAL GROUP LLC
Location Address2723 S 7TH ST STE STerre Haute, IN 47802-3584
Mailing Address2723 S 7th St Ste ATerre Haute, IN 47802-3558 · (812) 232-8164 · Fax (812) 242-1565
Phone(812) 232-8164
Fax(812) 242-1565
Organization SubpartNo
Authorized OfficialGeorge B BittarDirector · (812) 232-8164
Enumeration DateNovember 20, 2006
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1982778080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
2723 S 7TH ST STE S, Terre Haute, IN 47802
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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 Providence Medical Group LLC's NPI number?

The NPI number for Providence Medical Group LLC is 1982778080. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Providence Medical Group LLC located?

Providence Medical Group LLC is located at 2723 S 7th St Ste S, Terre Haute, IN 47802. The listed phone number is (812) 232-8164.

What is Providence Medical Group LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

When was this NPI record last updated?

The NPPES record for Providence Medical Group LLC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.