Individual
CARYSIA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAB DIRECTOR
Contact information
Practice address
720 W 5TH AVE, GARY, IN 46402-1808
(219) 248-4912
Mailing address
804 MARYLAND ST, GARY, IN 46402-2545
(219) 248-4912
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1984
GOVERMENT
IL
01
—
1984
GOVERMENT
IN
05
—
1984
—
IL
05
—
1984
—
IN
Enumeration date
01/07/2022
Last updated
01/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us