Mid America Clinical Laboratories, Llc in Indianapolis - Clinical Medical Laboratory
Mid America Clinical Laboratories, Llc - NPI 1104885052
Mid America Clinical Laboratories, Llc is a Clinical Medical Laboratory in Indianapolis, Indiana. Mid America Clinical Laboratories, Llc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Mid America Clinical Laboratories, Llc is 1104885052. The last update date is 2008-09-16.
Mid America Clinical Laboratories, Llc's current location address is 2560 N Shadeland Ave, Indianapolis, Indiana. You can contact this provider via phone number 3178031010 and fax number 3178030186. The mailing address for Mid America Clinical Laboratories, Llc is 2560 N Shadeland Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mid America Clinical Laboratories, Llc |
|---|---|
| Address | 2560 N Shadeland Ave, Indianapolis, Indiana |
| Phone Number | 3178031010 |
| Fax Number | 3178030186 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C.E.O./GEN |
|---|---|
| Authorized Official Name | Vanness Z. Dianne |
| Telephone Number | 3178030300 |
NPI Number Detail
| NPI Number | 1104885052 |
|---|---|
| Provider Enumeration Date | 2006-03-20 |
| Last Updated Date | 2008-09-16 |
Provider Mailing Address Detail
| Address | 2560 N Shadeland Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462191705 |
| Phone Number | 3178031010 |
| Fax Number | 3178030186 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 15D1011663 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200188040D | IN | -- | |
| 7183102 | IN | CAP | |
| 15D1011663 | IN | CLIA |
Post Comment/ Review Below
What is the unique identification code assigned to Mid America Clinical Laboratories, Llc by the Centers for Medicare & Medicaid Services?
The Mid America Clinical Laboratories, Llc has been issued the NPI (National Provider Identifier) 1104885052. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mid America Clinical Laboratories, Llc?
The Mid America Clinical Laboratories, Llc is situated at 2560 N Shadeland Ave, in the city of Indianapolis, state of IN, with the zip code 462191705.
What is the area of specialization for Mid America Clinical Laboratories, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mid America Clinical Laboratories, Llc is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of expertise is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104885052 to Mid America Clinical Laboratories, Llc?
The Mid America Clinical Laboratories, Llc received its 1104885052 assignment from the Centers for Medicare & Medicaid Services on 2006-03-20.
When was the information regarding Mid America Clinical Laboratories, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mid America Clinical Laboratories, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-09-16.