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Blackbird Clinical Services, LLC

Public Health or Welfare Agency in Lafayette, IN · enumerated 2009 · authorized official Kimi Hathaway, President/ Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164669255

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Registry record

Entity type Organization (Type 2)
Legal business name Blackbird Clinical Services, LLC
Practice address 2 Executive Dr Ste D, Lafayette, IN, 47905
Enumeration date Jan 12, 2009
Last updated in NPPES Jan 12, 2009

Taxonomy & classification

251K00000X Public Health or Welfare Agency Agencies Primary

Authorized official

Name Kimi Hathaway
Title President/ Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Blackbird Clinical Services, LLC?
NPPES lists Kimi Hathaway (President/ Ceo) as the authorized official for this organization.
What is the NPI number for Blackbird Clinical Services, LLC?
The NPI for Blackbird Clinical Services, LLC is 1164669255, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-12.