Organization
LIBERTY LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA PEREZ (DELEGATE)
(812) 548-0086
Entity
Organization
Contact information
Practice address
1317 119TH ST, WHITING, IN 46394-1602
(219) 629-4030
(708) 488-1831
Mailing address
4531 HARRISON ST, HILLSIDE, IL 60162-1614
(812) 619-0413
(708) 318-4182
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
15D1019268
IN
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311554
BCBS NUMBER
IN
05
—
300024950
—
IN
Enumeration date
12/19/2005
Last updated
05/08/2024
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