ASCENSION MEDICAL GROUP ST. VINCENT – NPI #1962946459
Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

ASCENSION MEDICAL GROUP ST. VINCENT is a physiological laboratory located in CRAWFORDSVILLE, IN. NPPES has assigned the NPI number 1962946459 to ASCENSION MEDICAL GROUP ST. VINCENT on December 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ASCENSION MEDICAL GROUP ST. VINCENT” is a dba name, the actual legal business name for this organization is ST. VINCENT MEDICAL GROUP, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 6 years ago on Feb 12, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASCENSION MEDICAL GROUP ST. VINCENT below.

NPI Profile for
ST. VINCENT MEDICAL GROUP, INC.

NPI Number
1962946459
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. VINCENT MEDICAL GROUP, INC.
Doing Business As (dba): ASCENSION MEDICAL GROUP ST. VINCENT
Primary location
1684 BUSH LN
#100
CRAWFORDSVILLE, IN 47933
Phone: (765) 365-9500 Fax:
Mailing address
10330 N MERIDIAN ST
INDIANAPOLIS, IN 46290-1024
Phone: Fax:
Organization Subpart
No
Authorized Official
BRIAN MORRIS
CFO
Phone: (317) 338-6234
Updated
Certification Date
Feb 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.