OrganizationActive
Divine Diagnostics LLC
NPI 1265193429 · Clinical Medical Laboratory · Indianapolis, IN
Divine Diagnostics LLC is a Clinical Medical Laboratory organization in Indianapolis, IN (NPI 1265193429).
Provider details
- NPI number
- 1265193429
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Patrice Ellis, Ceo(317) 294-5808
Specialties & taxonomies
Laboratories
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
2608 W 44th St
Indianapolis, IN 46228-2037
Phone: (317) 294-5808
Street-level locationGet directions
Mailing address
2608 W 44th St
Indianapolis, IN 46228-2037
Registry dates
- Enumerated
- 2022-01-09
- Last updated
- 2022-01-09
- Certified
- 2022-01-09
Frequently asked questions
- What is Divine Diagnostics LLC's NPI number?
- Divine Diagnostics LLC's National Provider Identifier (NPI) is 1265193429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Diagnostics LLC?
- Divine Diagnostics LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Divine Diagnostics LLC located?
- Divine Diagnostics LLC's practice location on file with NPPES is 2608 W 44th St, Indianapolis, IN 46228-2037.
- What is Divine Diagnostics LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Diagnostics LLC is (317) 294-5808.
- Who is the authorized official for Divine Diagnostics LLC?
- The authorized official listed on Divine Diagnostics LLC's NPPES record is Patrice Ellis, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Diagnostics LLC's NPI active?
- Yes — Divine Diagnostics LLC's NPI (1265193429) is active in the NPPES registry as of the last update on 2022-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.