Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Diagnostics LLC

Organization Clinical Medical Laboratory · NPI 1265193429

Divine Diagnostics LLC is a Clinical Medical Laboratory in Indianapolis, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2608 W 44th St
Indianapolis, IN 46228-2037
Phone: (317) 294-5808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1265193429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrice Ellis — Ceo · (317) 294-5808
NPI enumeratedJanuary 9, 2022
Last updated in NPPESJanuary 9, 2022
Certification dateJanuary 9, 2022
Mailing address2608 W 44th St, Indianapolis, IN 46228-2037

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