OrganizationActive
Eminence Healthcare Staffing Agency LLC.
NPI 1720588221 · Clinical Medical Laboratory · South Bend, IN
Provider details
- NPI number
- 1720588221
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Heidi Brown, Owner, MD, Ceo(866) 350-6400
- License
- 27075427A (IN)
Specialties & taxonomies
Laboratories
Nursing Service Providers
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Point of Service305S00000X
Managed Care Organizations
- Non-Pharmacy Dispensing Site332900000X
Suppliers
Suppliers
- Private Vehicle347C00000X
Transportation Services
Practice location
2015 W Western Ave Ste 201
South Bend, IN 46619-3558
Phone: (866) 350-6400
Approximate (ZIP-level) locationGet directions
Mailing address
2015 W Western Ave Ste 201
South Bend, IN 46619-3558
Other names (DBA / former)
- Doing business as
- Eminence Health & Notary Services
- Doing business as
- Eminence Health & Notary Services
Registry dates
- Enumerated
- 2018-02-20
- Last updated
- 2021-08-22
- Certified
- 2021-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.