{"npi":"1356764419","type":"NPI-2","status":"active","name":{"display":"Northeast Indiana Genetics, LLC","other":[],"organization_name":"NORTHEAST INDIANA GENETICS, LLC","authorised_official":"Joseph Bader"},"specialty":{"primary_taxonomy":"207SG0201X","primary_taxonomy_description":"Clinical Genetics (M.D.) Physician","slug":"clinical-genetics-m-d-physician","schema_org_specialty":null,"all":[{"code":"207SG0201X","description":"Clinical Genetics (M.D.) Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7230 ENGLE RD","city":"FORT WAYNE","state":"IN","postal_code":"468042209","country_code":"US","phone":"2604823886","fax":"2604821910"},{"purpose":"MAILING","street_1":"7230 ENGLE RD","city":"FORT WAYNE","state":"IN","postal_code":"468042209","country_code":"US","phone":"2604823886","fax":"2604821910"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"01022953A","state":"IN","issuer":"PHYSICIAN MEDICAL LICENSING"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2014-01-27","last_updated":"2018-01-31","_meta":{"source":"NPPES","snapshot_date":"2018-01-31","doc_url":"https://findmynpi.com/api"}}