Miravista Diagnostics, Llc

LBN: Miravista Diagnostics, Llc
Miravista Diagnostics, Llc is an health care organization with primary practice located at 4444 Decatur Blvd Suite 300, Indianapolis IN 46241-9537. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Miravista Diagnostics, Llc can be contacted via phone (317) 856-2681, or through Wheat, Lawrence J via phone (317) 856-2681.

Contact Information

Primary practice address
4444 Decatur Blvd Suite 300 Indianapolis IN 46241-9537
Phone: (317) 856-2681
Fax: (317) 856-3685
Website:
Map and Directions
Authorized official contact:
Name: Wheat, Lawrence J Doctor of Medicine (MD)
Phone: (317) 856-2681

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Indiana

Profile Details

NPI number 1588600456
LBN Legal business name Miravista Diagnostics, Llc
DBA Doing business as
Authorized official Wheat, Lawrence J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1588600456 NPPES
Other 7182293 CAP (COLLEGE OF AM PATH)

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