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

Northeast Indiana Genetics, LLC

Organization Clinical Genetics (M.D.) Physician · NPI 1356764419

Northeast Indiana Genetics, LLC is a Clinical Genetics (M.D.) Physician in Fort Wayne, Indiana. Registered with an NPI since 2014.

In the registry since
2014
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

7230 Engle Rd
Fort Wayne, IN 46804-2209
Phone: (260) 482-3886
Fax: (260) 482-1910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X

Record details

NPI number1356764419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Bader — Office Manager · (260) 482-3886
NPI enumeratedJanuary 27, 2014
Last updated in NPPESJanuary 31, 2018
Mailing address7230 Engle Rd, Fort Wayne, IN 46804-2209

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