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NPI Code Detail

MEDICARE: SKYLINE LAB LLC

MEDICARE: SKYLINE LAB LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1023961356
Entity Type Code : Organization
Provider Name (Legal Business Name) : SKYLINE LAB LLC
Provider Business Mailing Address
First Line : 2506 E WASHINGTON ST STE 101
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-4126
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2506 E WASHINGTON ST STE 101
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-4126
Country : US
Telephone Number : 718-666-0540
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MUHAMMAD Z NASIM
Credential :
Telephone Number : 718-666-0540
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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Directions to “SKYLINE LAB LLC ” Practice Location

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