OrganizationActive
Liberty Laboratory Inc
NPI 1902882210 · Clinical Medical Laboratory · Whiting, IN
Provider details
- NPI number
- 1902882210
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Veronica Perez, Delegate(812) 548-0086
Specialties & taxonomies
Laboratories
- Clinical Medical Laboratory291U00000X
Laboratories
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
1317 119th St
Whiting, IN 46394-1602
Phone: (219) 629-4030
Fax: (708) 488-1831
Street-level locationGet directions
Mailing address
4531 Harrison St
Hillside, IL 60162-1614
Additional practice locations (2)
- 132 13th St Ste BTell City, IN 47586-1918Phone: (812) 548-0086Fax: (812) 548-0089
- 929 a 12th StTell City, IN 47586Phone: (812) 548-0086Fax: (812) 548-0089
Registry dates
- Enumerated
- 2005-12-19
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.