OrganizationActive
Blackbird Clinical Services, LLC
NPI 1164669255 · Public Health or Welfare Agency · Lafayette, IN
Blackbird Clinical Services, LLC is a Public Health or Welfare Agency organization in Lafayette, IN (NPI 1164669255).
Provider details
- NPI number
- 1164669255
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kimi Hathaway, President/ Ceo(765) 447-8700
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2 Executive Dr Ste D
Lafayette, IN 47905-4878
Phone: (765) 447-8700
Street-level locationGet directions
Mailing address
2 Executive Dr Ste D
Lafayette, IN 47905-4878
Registry dates
- Enumerated
- 2009-01-12
- Last updated
- 2009-01-12
Frequently asked questions
- What is Blackbird Clinical Services, LLC's NPI number?
- Blackbird Clinical Services, LLC's National Provider Identifier (NPI) is 1164669255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackbird Clinical Services, LLC?
- Blackbird Clinical Services, LLC is classified in the NPPES registry as Public Health or Welfare Agency (Agencies).
- Where is Blackbird Clinical Services, LLC located?
- Blackbird Clinical Services, LLC's practice location on file with NPPES is 2 Executive Dr Ste D, Lafayette, IN 47905-4878.
- What is Blackbird Clinical Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Blackbird Clinical Services, LLC is (765) 447-8700.
- Who is the authorized official for Blackbird Clinical Services, LLC?
- The authorized official listed on Blackbird Clinical Services, LLC's NPPES record is Kimi Hathaway, President/ Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackbird Clinical Services, LLC's NPI active?
- Yes — Blackbird Clinical Services, LLC's NPI (1164669255) is active in the NPPES registry as of the last update on 2009-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.