MID AMERICA CLINICAL LABORATORIES LLC (NPI# 1487173936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487173936 |
| Entity Type | Organization |
| Organization Name | MID AMERICA CLINICAL LABORATORIES LLC |
| Practice Address |
3500 S Lafountain St Kokomo IN 46902-3803 |
| Mailing Address |
1201 S Collegeville Rd Collegeville PA 19426-2998 |
| Practice Telephone | 7654538437 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Authorized Official Name | THOMAS KMETZ (CFO) |
| Authorized Official Telephone | 3178030071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225152325 | Mid America Clinical Laboratories LLC | Clinical Medical Laboratory | 816 Dillon Dr, Richmond, IN 47374-8057 | 2007-03-16 |
| Street Address |
3500 S LAFOUNTAIN ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023099868 | Cathy J Simms | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2005-11-09 |
| 1366043911 | Chelsea M Gustafson | Pharmacist | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2020-11-02 |
| 1700409257 | Rachelle Goddard | Registered Nurse | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2020-05-19 |
| 1144878612 | Ellman Barkley Holder | Registered Nurse | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2019-08-28 |
| 1023598307 | Alannah Scott | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2018-08-16 |
| 1639691413 | Ginger Ann Smith | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-07-12 |
| 1700325586 | Community Howard Regional Health, Inc | Clinic/Center | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2017-02-14 |
| 1760925762 | Howard Community Ambulance Service | Ambulance | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-11-22 |
| 1881054575 | Heather Hare | Nurse Practitioner | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-02-24 |
| 1386002236 | Joseph Hooper | Counselor | 3500 S Lafountain St, Kokomo, IN 46902-3803 | 2016-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| 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 |
|---|---|---|---|---|
| 1780629659 | Msl, Inc. | Clinical Medical Laboratory | 3803 Southland Ave, Kokomo, IN 46902-3638 | 2006-06-17 |
| 1043294143 | Kokomo Pathologist Associates | Clinical Medical Laboratory | 1907 W Sycamore St, Kokomo, IN 46901-4113 | 2005-12-01 |
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|---|---|---|---|---|
| 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 |
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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.