{"npi":"1114923976","type":"NPI-2","status":"active","name":{"display":"Isis Medical, Incorporated","other":[],"organization_name":"ISIS MEDICAL, INCORPORATED","authorised_official":"Colleen Duch"},"specialty":{"primary_taxonomy":"293D00000X","primary_taxonomy_description":"Physiological Laboratory","slug":"physiological-laboratory","schema_org_specialty":null,"all":[{"code":"293D00000X","description":"Physiological Laboratory","primary":false,"state":null,"license":null},{"code":"293D00000X","description":"Physiological Laboratory","primary":true,"state":null,"license":"N/A"}]},"addresses":[{"purpose":"LOCATION","street_1":"965 CAPSTONE CIR STE 420","city":"MIAMISBURG","state":"OH","postal_code":"453421000","country_code":"US","phone":"8888406400","fax":"9378478853"},{"purpose":"MAILING","street_1":"PO BOX 4110 DEPT 5540","city":"WOBURN","state":"MA","postal_code":"018884110","country_code":"US","phone":"8888406400","fax":"9378478853"}],"license":{"state":null,"number":"N/A"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050928000001","type_code":"12-47","type_desc":"PART B SUPPLIER - INDEPENDENT DIAGNOSTIC TESTING FACILITY (IDTF)","state":"OH","pac_id":"7911932017"},{"enrlmt_id":"O20190322002192","type_code":"12-47","type_desc":"PART B SUPPLIER - INDEPENDENT DIAGNOSTIC TESTING FACILITY (IDTF)","state":"IN","pac_id":"7911932017"}]},"enumeration_date":"2005-06-24","last_updated":"2025-02-26","_meta":{"source":"NPPES","snapshot_date":"2025-02-26","doc_url":"https://findmynpi.com/api"}}