Organization · Type 2 NPI
Providence Medical Group LLC
Physiological Laboratory · Terre Haute, IN
Practice location
2723 S 7th St Ste S
Terre Haute, IN 47802-3584
Fax (812) 242-1565
Mailing address
2723 S 7th St Ste A
Terre Haute, IN 47802-3558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physiological Laboratory Primary | 293D00000X | None listed |
Physiological Laboratory: 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 labora…
About NPI 1982778080
Providence Medical Group LLC's National Provider Identifier is 1982778080, issued on Nov 20, 2006. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Terre Haute, IN. The record was last updated on Sep 29, 2026.