MID AMERICA CLINICAL LABORATORIES, LLC


Address: 10580 N Meridian St, Indianapolis, IN 46290-1028
Phone: 3175835085

MID AMERICA CLINICAL LABORATORIES, LLC (NPI# 1467866251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467866251
Entity Type Organization
Organization Name MID AMERICA CLINICAL LABORATORIES, LLC
Practice Address 10580 N Meridian St
Indianapolis
IN 46290-1028
Mailing Address 2560 N Shadeland Ave
Indianapolis
IN 46219-1705
Practice Telephone 3175835085
Practice Fax Number 3175835662
Mailing Telephone 3178031010
Mailing Fax Number 3178030186
Enumeration Date 2014-06-19
Last Update Date 2014-06-19
Authorized Official Name MRS. DIANNE Z. VANNESS (CEO/GENERAL MANAGER)
Authorized Official Telephone 3178031010
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 15D2066610 IN Laboratories

Other Provider IDs and Locations

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
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
1023421310 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 1206 E National Ave, Brazil, IN 47834-2718 2014-06-04
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

Office Location

Street Address 10580 N MERIDIAN ST
City INDIANAPOLIS
State IN
Zip Code 46290-1028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588665988 Diane Carol Gibbs Anesthesiology 10580 N Meridian St, Indianapolis, IN 46290-1028 2005-08-09
1801411525 Elizabeth Denae Stewart Dietitian, Registered 10580 N Meridian St, Indianapolis, IN 46290-1028 2020-06-09
1831738269 Sarah Carson Nurse Practitioner 10580 N Meridian St, Indianapolis, IN 46290-1028 2020-01-02
1871920793 Karen Post Pharmacist 10580 N Meridian St, Indianapolis, IN 46290-1028 2013-10-09
1275760498 Geoffrey Daniel Lively Anesthesiology 10580 N Meridian St, Indianapolis, IN 46290-1028 2009-06-15
1174799936 Shelly J Plotner Social Worker 10580 N Meridian St, Indianapolis, IN 46290-1028 2008-05-01
1932373222 Cardiosom, LLC Durable Medical Equipment & Medical Supplies 10580 N Meridian St, Suite 400, Indianapolis, IN 46290-1028 2008-04-17
1689846347 Lucas William Mitchel Anesthesiology 10580 N Meridian St, Indianapolis, IN 46290-1028 2008-04-01
1932267044 Corview, LLC Radiology 10580 N Meridian St, Indianapolis, IN 46290-1028 2006-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821548777 American Behavioral Counseling Social Worker 10386 Spring Highland Dr, Indianapolis, IN 46290 2016-10-04
1518042431 James Lamar Jones Psychologist 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 2006-10-26
1437245917 Bradley Scott Gunter Physical Therapy Assistant 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 2006-10-04
1790261576 Kristiana Michelle Sannella Physician Assistant 10590 N Meridian St # 105, Indianapolis, IN 46290 2018-07-16
1023534815 Mitchell James Vansumeren Psychologist 10291 N Meridian St Ste 310, Indianapolis, IN 46290 2017-08-14
1801281670 Elizabeth Tibbs Physician Assistant 10590 N Meridian St Ste 105, Indianapolis, IN 46290 2015-03-30
1447510722 Bradley A Clark Internal Medicine 10590 N Meridian St, Indianapolis, IN 46290 2012-05-21
1528333861 Edward Mark Shmukler Internal Medicine 10590 N Meridian St, Indianapolis, IN 46290 2012-03-20
1386938272 Bryce S Lynn Internal Medicine 10590 N Meridian St, Indianapolis, IN 46290 2011-06-08
1063610301 Babar Sultan Otolaryngology 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 2007-07-09
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588226864 Accutreat LLC Clinical Medical Laboratory 9661 Crosspoint Blvd, Indianapolis, IN 46256 2019-07-08
1720409154 Patients Choice Laboratories of Indiana, LLC Clinical Medical Laboratory 7026 Corporate Dr, Indianapolis, IN 46278-1937 2014-01-03
1427396480 Labverdict Clinical Medical Laboratory 2311 Duke St, Indianapolis, IN 46205-2239 2013-01-26
1649518135 Phlebotomy Connection, LLC Clinical Medical Laboratory 3806 West 86th St, Suite B, Indianapolis, IN 46268 2013-01-18
1194033092 State of Indiana Auditor of State Clinical Medical Laboratory 550 W 16th St Ste B, Indianapolis, IN 46202-2218 2010-09-14
1265755136 Indiana State Department of Health Clinical Medical Laboratory 550 W 16th Street, Sutie B, Indianapolis, IN 46202-7804 2010-03-08
1588996870 Martin Center, Inc. Clinical Medical Laboratory 3549 N College Ave, Indianapolis, IN 46205-3733 2010-02-11
1558595124 In Sook Seo Clinical Medical Laboratory 1555 E 79th St, Indianapolis, IN 46240-2702 2009-05-11
1235389297 Indiana University School of Medicine, Department of Pathology and Lab Clinical Medical Laboratory 635 Barnhill Dr # Ms 128, Indianapolis, IN 46202-5126 2008-09-26
1770732679 Pa Labs LLC Clinical Medical Laboratory 7750 Zionsville Rd Ste 450, Indianapolis, IN 46268-2195 2008-09-16
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Competitor

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City INDIANAPOLIS
Zip Code 46290

Improve Information

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Dataset Information

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.

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