MID AMERICA CLINICAL LABORATORIES, LLC (NPI# 1477966778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477966778 |
| Entity Type | Organization |
| Organization Name | MID AMERICA CLINICAL LABORATORIES, LLC |
| Practice Address |
412 N Monroe St Williamsport IN 47993-1049 |
| Mailing Address |
2560 N Shadeland Ave Indianapolis IN 46219-1705 |
| Practice Telephone | 7657624072 |
| Practice Fax Number | 7657624197 |
| 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 | 15D0035759 | 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 |
| 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 |
| 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 |
412 N MONROE ST |
| City | WILLIAMSPORT |
| State | IN |
| Zip Code | 47993-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831167931 | Richard Thompson Gripe | Orthopaedic Surgery | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-03-14 |
| 1609346923 | Kelszie Danielle Morgan | Physician Assistant | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-11-29 |
| 1235611625 | Jeffrey M Tessman | Nurse Practitioner | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-08-31 |
| 1952891269 | Iema Indiana | Emergency Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2018-05-11 |
| 1750774576 | Wolfe Neurology, LLC | Psychiatry & Neurology | 412 N Monroe St, Williamsport, IN 47993-1049 | 2015-03-18 |
| 1619105103 | Michael Charles Tricoci | Emergency Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2009-06-23 |
| 1881758852 | Arnett Clinic, LLC | Durable Medical Equipment & Medical Supplies | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-12-21 |
| 1427128404 | St. Vincent Williamsport Hospital | General Acute Care Hospital | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-11-08 |
| 1548297567 | Thomas Ringer | Emergency Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-06-26 |
| 1992731749 | Sean Sharma | Internal Medicine | 412 N Monroe St, Williamsport, IN 47993-1049 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568782613 | Anita Michelle Rice | Occupational Therapy Assistant | Waters of Williamsport, 200 Short St., Williamsport, IN 47993 | 2010-06-10 |
| 1053404541 | Msd of Warren County | Local Education Agency (LEA) | 101 N Monroe Street, Williamsport, IN 47993 | 2006-10-02 |
| 1518328236 | Alexis Smith | Specialist/Technologist | 23 Willow Ct, Williamsport, IN 47993 | 2016-03-08 |
| 1689872426 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993 | 2007-07-03 |
| 1396772612 | Steven Fischer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-26 |
| 1538195391 | William Ringer | Family Medicine | 1731 Ringer Lane, Williamsport, IN 47993 | 2006-06-24 |
| 1659366151 | Quality Life Care, LLC | Skilled Nursing Facility | 200 Short St, Williamsport, IN 47993-1031 | 2005-09-12 |
| 1194044644 | Kevin D. Smith | Occupational Therapy Assistant | 200 Short St, Williamsport, IN 47993-1031 | 2010-05-24 |
| 1578940417 | Lafayette Pain Care, P.C. | Durable Medical Equipment & Medical Supplies | 3728 South Reed Road, Williamsport, IN 47993-1049 | 2015-04-29 |
| 1083829394 | Community Action Program, Inc. of Western In | Technician | 22 W 2nd St, Williamsport, IN 47993-1118 | 2007-05-11 |
| Find all providers in zip 47993 | ||||
| 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 |
|---|---|---|---|---|
| 1144344201 | Cornerstone Family Health, PC | Clinical Medical Laboratory | 1205 Grampian Blvd, Suite 3, Williamsport, PA 17701-1978 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195067 | Reid Physician Associates Inc | Clinical Medical Laboratory | 1154 S State Road 1 Ste 3, Cambridge City, IN 47327-9513 | 2020-08-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 47993 |
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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.