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

Northlake International Medical Laboratory

Organization Clinical Medical Laboratory · NPI 1265437818

Northlake International Medical Laboratory is a Clinical Medical Laboratory in Gary, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005

Practice location Address checks out

2200 Grant St Ste 201
Gary, IN 46404-3439
Phone: (219) 614-6833
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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 · Licence 05137901 (IN)

Record details

NPI number1265437818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Brown — Ceo · (219) 985-1315
NPI enumeratedJune 19, 2005
Last updated in NPPESAugust 22, 2020
Mailing address234 W 46th Ave, Gary, IN 46408-3908

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