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 1500 N Ritter Ave , Indianapolis IN 46219-3027. 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) 803-0092, or through Kmetz, Thomas via phone (317) 803-1010.

Contact Information

Primary practice address
1500 N Ritter Ave Indianapolis IN 46219-3027
Phone: (317) 803-0092
Fax: (317) 803-0186
Website:
Map and Directions
Authorized official contact:
Name: Kmetz, Thomas
Phone: (317) 803-1010

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 15D0980113 Indiana

Profile Details

NPI number 1780644021
LBN Legal business name Mid America Clinical Laboratories, Llc
DBA Doing business as
Authorized official Kmetz, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 11th, 2018 - about 6 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 1780644021 NPPES
Indiana Other 15D0980113 CLIA
Indiana Other CAP CLIA
Indiana MEDICAID 200255150A CLIA

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