OrganizationActive
Divine Diagnostics LLC
NPI 1265193429 · Clinical Medical Laboratory · Indianapolis, IN
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
Practice location
2608 W 44th St
Indianapolis, IN 46228-2037
Phone: (317) 294-5808
Approximate (ZIP-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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.