Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Indiana Genetic Counseling Center Inc

Organization Clinical Cytogenetics Physician · NPI 1881678860

Northeast Indiana Genetic Counseling Center Inc provides Clinical Cytogenetics Physician services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11143 Parkview Plaza Dr Ste 311
Fort Wayne, IN 46845-1701 Not confirmed with CMS for 17 years — call before visiting
Phone: (260) 482-3886
Fax: (260) 482-1910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence 01022953 (IN)
Clinical Cytogenetics Physician Taxonomy 207SC0300X · Licence 01022953 (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 01022953 (IN)

Record details

NPI number1881678860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Bader — Physician · (260) 482-3886
NPI enumeratedDecember 2, 2005
Last updated in NPPESMay 27, 2009
Mailing address11143 Parkview Plaza Dr, Ste. 311, Fort Wayne, IN 46845-1701