{"npi":"1265755136","type":"NPI-2","status":"active","name":{"display":"Indiana State Department Of Health","other":[],"organization_name":"INDIANA STATE DEPARTMENT OF HEALTH","authorised_official":"Lixia Liu"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"550 W 16TH STREET","city":"INDIANAPOLIS","state":"IN","postal_code":"462027804","country_code":"US","street_2":"SUTIE B","phone":"3179215500","fax":"3179277801"},{"purpose":"MAILING","street_1":"550 W 16TH STREET","city":"INDIANAPOLIS","state":"IN","postal_code":"462027804","country_code":"US","street_2":"SUTIE B","phone":"3179215500","fax":"3179277801"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"15D0662599","state":null,"issuer":"CLIA"},{"type_code":"05","label":"Medicaid","value":"(LPI):100284680A","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-03-08","last_updated":"2020-09-16","_meta":{"source":"NPPES","snapshot_date":"2020-09-16","doc_url":"https://findmynpi.com/api"}}