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

Northeast Indiana Genetic Counseling Center Inc

Organization Clinical Cytogenetics Physician · NPI 1881678860

Northeast Indiana Genetic Counseling Center Inc is a Clinical Cytogenetics Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11143 Parkview Plaza Dr Ste 311
Fort Wayne, IN 46845-1701
Phone: (260) 482-3886
Fax: (260) 482-1910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 01022953 (IN)
Clinical Cytogenetics Physician Taxonomy 207SC0300X · Licence 01022953 (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 01022953 (IN)

Record details

NPI number1881678860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Bader — Physician · (260) 482-3886
NPI enumeratedDecember 2, 2005
Last updated in NPPESMay 27, 2009
Mailing address11143 Parkview Plaza Dr, Ste. 311, Fort Wayne, IN 46845-1701