Mid America Clinical Laboratories, Llc

LBN: Mid America Clinical Laboratories, Llc
Mid America Clinical Laboratories, Llc is an health care organization with primary practice located at 1950 W 86Th St Suite 100, Indianapolis IN 46260-2076. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Mid America Clinical Laboratories, Llc can be contacted via phone (317) 803-0330, or through Vanness, Dianne Z. via phone (317) 803-0300.

Contact Information

Primary practice address
1950 W 86Th St Suite 100 Indianapolis IN 46260-2076
Phone: (317) 803-0330
Fax: (317) 334-0709
Website:
Map and Directions
Authorized official contact:
Name: Vanness, Dianne Z.
Phone: (317) 803-0300

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 15D1011663 Indiana

Profile Details

NPI number 1104885052
LBN Legal business name Mid America Clinical Laboratories, Llc
DBA Doing business as
Authorized official Vanness, Dianne Z.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104885052 NPPES
Indiana MEDICAID 200188040D
Indiana Other 7183102
Indiana Other 15D1011663

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