MID AMERICA CLINICAL LABORATORIES, LLC (NPI# 1023421310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023421310 |
| Entity Type | Organization |
| Organization Name | MID AMERICA CLINICAL LABORATORIES, LLC |
| Practice Address |
1206 E National Ave Brazil IN 47834-2718 |
| Mailing Address |
2560 N Shadeland Ave Indianapolis IN 46219-1705 |
| Practice Telephone | 8124422525 |
| Practice Fax Number | 8124422610 |
| Mailing Telephone | 3178031010 |
| Mailing Fax Number | 3178030186 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | MRS. DIANNE Z. VANNESS (C.E.O./GENERAL MANAGER) |
| Authorized Official Telephone | 3178031010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 15D0362073 | IN | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104885052 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1950 W 86th St, Suite 100, Indianapolis, IN 46260-2076 | 2006-03-20 |
| 1467866251 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 10580 N Meridian St, Indianapolis, IN 46290-1028 | 2014-06-19 |
| 1699189704 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 3630 Guion Rd, Indianapolis, IN 46222-1616 | 2014-06-17 |
| 1326451113 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 911 N Shelby St, Salem, IN 47167-2304 | 2014-06-09 |
| 1336552587 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 2015 Jackson St, Anderson, IN 46016-4337 | 2014-06-05 |
| 1669885950 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1600 23rd St, Bedford, IN 47421-4704 | 2014-06-04 |
| 1477966760 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1331 S A St, Elwood, IN 46036-1942 | 2014-06-04 |
| 1477966778 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 412 N Monroe St, Williamsport, IN 47993-1049 | 2014-06-04 |
| 1831502129 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 3700 Washington Ave, Evansville, IN 47714-0542 | 2014-06-04 |
| 1275953135 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1440 E County Line Rd, Suite 1300, Indianapolis, IN 46227-0963 | 2014-04-18 |
| Street Address |
1206 E NATIONAL AVE |
| City | BRAZIL |
| State | IN |
| Zip Code | 47834-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768947 | Jeffrey P Bailey | Nurse Anesthetist, Certified Registered | 1206 E National Ave, Brazil, IN 47834-2718 | 2005-05-31 |
| 1568840627 | Kimberly Hess | Occupational Therapy Assistant | 1206 E National Ave, Brazil, IN 47834-2718 | 2015-05-09 |
| 1194148213 | Jessica Paulin | Registered Nurse | 1206 E National Ave, Brazil, IN 47834-2718 | 2014-01-24 |
| 1578868220 | Indiana Physician Management-clay, LLC | Emergency Medicine | 1206 E National Ave, Brazil, IN 47834-2718 | 2011-01-11 |
| 1700195401 | David Guenther | Registered Nurse | 1206 E National Ave, Brazil, IN 47834-2718 | 2010-09-28 |
| 1881822294 | Patricia Sue Pound | Occupational Therapist | 1206 E National Ave, Brazil, IN 47834-2718 | 2009-06-24 |
| 1922233592 | Reddy Pop Emergency Physicians | Emergency Medicine | 1206 E National Ave, Brazil, IN 47834-2718 | 2009-05-26 |
| 1942488580 | Brenda S. Reymann | Nurse Anesthetist, Certified Registered | 1206 E National Ave, Brazil, IN 47834-2718 | 2008-02-06 |
| 1790998920 | Shelley Anne Searing | Physical Therapy Assistant | 1206 E National Ave, Brazil, IN 47834-2718 | 2007-05-07 |
| 1811100035 | Michelle Lynn Oehler | Physical Therapy Assistant | 1206 E National Ave, Brazil, IN 47834-2718 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149763 | Stephen P Ernest | Pharmacist | Kroger Pharmacy Store 248, 100 Forest Park Plaza, Brazil, IN 47834 | 2019-11-27 |
| 1891211330 | Melissa Ann Barker | Family Medicine | 115 Murphy Ave, Suite A, Brazil, IN 47834 | 2017-08-16 |
| 1528387412 | Internal Medicine Practice, LLC | Internal Medicine | 1011 E. National Ave, Brazil, IN 47834 | 2010-05-18 |
| 1770778102 | Fcp, Inc. | Clinic/Center | 11295 Ncr 300w, Brazil, IN 47834 | 2007-09-10 |
| 1760605505 | Erin Jenelle Graves | Speech-Language Pathologist | 1841 West County Road 500 North, Brazil, IN 47834 | 2007-04-10 |
| 1568581049 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 107 Villa Court #a, Brazil, IN 47834 | 2007-03-28 |
| 1255491130 | Raymond L Dennany IIi | Dentist | 21 N Washington St, Brazil, IN 47834 | 2006-12-11 |
| 1619054715 | Michael E Whitman | Chiropractor | 501 E Us Hwy 40, Brazil, IN 47834 | 2006-11-01 |
| 1275635534 | Nilah Nicole Bonham | Optometrist | 325 W National Avenue, Brazil, IN 47834 | 2006-09-05 |
| 1649387937 | John Jay Cash | Dentist | 924 South Forest Avenue, Brazil, IN 47834 | 2006-08-24 |
| Find all providers in zip 47834 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871918987 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1207 E National Ave, Brazil, IN 47834-2717 | 2014-02-26 |
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| 1801418751 | Labcorp Indiana Inc | Clinical Medical Laboratory | 530 N Lafayette Blvd Fl 1, South Bend, IN 46601-1004 | 2020-05-14 |
| 1457996522 | Heritage Laboratory Inc | Clinical Medical Laboratory | 7895 Broadway Ste V1, Merrillville, IN 46410-5529 | 2019-11-13 |
| 1538719810 | Labcorp Indiana Inc | Clinical Medical Laboratory | 5340 Holy Cross Pkwy Ste 206, Mishawaka, IN 46545-1470 | 2019-09-18 |
| 1568012540 | Labcorp Indiana Inc | Clinical Medical Laboratory | 125 St Liam Hall, Notre Dame, IN 46556-5693 | 2019-09-12 |
| 1013567098 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1320 S Wisconsin St, Hobart, IN 46342-5502 | 2019-09-12 |
| 1609426667 | Labcorp Indiana Inc | Clinical Medical Laboratory | 1506 Osolo Rd Ste A, Elkhart, IN 46514-4122 | 2019-09-12 |
| 1659921617 | Labcorp Indiana Inc | Clinical Medical Laboratory | 611 E Douglas Rd Ste 300, Mishawaka, IN 46545-1467 | 2019-09-12 |
| 1518516533 | Labcorp Indiana Inc | Clinical Medical Laboratory | 530 N Lafayette Blvd Fl 2, South Bend, IN 46601-1004 | 2019-09-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.