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Contact Information

MIDS, LLC
3838 N MAIN ST STE 1C
MISHAWAKA, IN46545-3100
 Phone: 574-404-3980
 Fax: 574-931-8601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIDS, LLC

NPI Number 1366097016
LBN Legal business name MIDS, LLC
Authorized official LLOYD SCHULMAN - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/08/2019
Last updated 08/08/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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