MID AMERICA CLINICAL LABORATORIES LLC (NPI# 1225152325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225152325 |
| Entity Type | Organization |
| Organization Name | MID AMERICA CLINICAL LABORATORIES LLC |
| Other Organization Name | MACL |
| Practice Address |
816 Dillon Dr Richmond IN 47374-8057 |
| Mailing Address |
2560 N Shadeland Ave P.o. Box 19163 Indianapolis IN 46219-1705 |
| Practice Telephone | 7659667056 |
| Practice Fax Number | 7659666248 |
| Mailing Telephone | 3178031010 |
| Mailing Fax Number | 3178030186 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | THOMAS KMETZ (CFO) |
| Authorized Official Telephone | 3178031010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CLIA | 15D1065629 | 01 |
| IN | CAP | 7198828 | 01 |
| Other Name | Type Code |
|---|---|
| MACL | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173936 | Mid America Clinical Laboratories LLC | Clinical Medical Laboratory | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-09-15 |
| Street Address |
816 DILLON DR |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-8057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| 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 |
|---|---|---|---|---|
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| 1851865224 | Haliodx Inc | Clinical Medical Laboratory | 737 N 5th St Ste 600, Richmond, VA 23219-1445 | 2019-01-17 |
| 1164929741 | Daily Sleep | Clinical Medical Laboratory | 19002 Mission Park Dr Apt 627, Richmond, TX 77407 | 2018-04-10 |
| 1295251460 | H-e-b, Lp | Clinical Medical Laboratory | 23500 Berry Pkwy, Richmond, TX 77469 | 2017-08-18 |
| 1417308958 | H-e-b, Lp | Clinical Medical Laboratory | 10161 W Grand Parkway S, Richmond, TX 77407 | 2016-06-27 |
| 1063872166 | Laboratory Corporation of America | Clinical Medical Laboratory | 22121 Fm 1093 Road, Richmond, TX 77407-0000 | 2016-03-02 |
| 1144680885 | Salveo Diagnostics Inc | Clinical Medical Laboratory | 8751 Park Central Drive, Suite 200, Richmond, VA 23227 | 2016-02-23 |
| 1952777211 | Veracis, Incorporated | Clinical Medical Laboratory | 737 North 5th St, Suite 304, Richmond, VA 23219-1441 | 2015-08-20 |
| 1851715908 | Laboratory Corporation of America | Clinical Medical Laboratory | 1110 Lancaster Rd Ste 1, Richmond, KY 40475-6531 | 2014-02-10 |
| Find all providers in RICHMOND | ||||
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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.