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NPI Code Detail

MEDICARE: ALVERNO LABORATORIES, LLC

MEDICARE: ALVERNO LABORATORIES, 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 : 1861763658
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALVERNO LABORATORIES, LLC
Provider Business Mailing Address
First Line : 2434 INTERSTATE PLAZA DR
Second Line :
City : HAMMOND
State : IN
Zip : 46324-2671
Country : US
Telephone Number : 219-989-3700
Fax Number : 219-989-3900
Provider Business Practice Location Address
First Line : 2434 INTERSTATE PLAZA DR.
Second Line :
City : HAMMOND
State : IN
Zip : 46324-2671
Country : US
Telephone Number : 219-989-3700
Fax Number : 219-989-3900
Authorized Official
Title or Position : CEO AND PRESIDENT
Name : SAM TERESE
Credential :
Telephone Number : 219-803-4776
Provider Enumeration Date : 01/25/2012
Last Update Date : 03/10/2025

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Directions to “ALVERNO LABORATORIES, LLC ” Practice Location

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