MID AMERICA CLINICAL LABORATORIES, LLC (NPI# 1669885950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669885950 |
| Entity Type | Organization |
| Organization Name | MID AMERICA CLINICAL LABORATORIES, LLC |
| Practice Address |
1600 23rd St Bedford IN 47421-4704 |
| Mailing Address |
2560 N Shadeland Ave Indianapolis IN 46219-1705 |
| Practice Telephone | 8122761255 |
| Practice Fax Number | 8122761344 |
| Mailing Telephone | 3178031010 |
| Mailing Fax Number | 3178030183 |
| 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 | 15D0359551 | 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 |
| 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 |
1600 23RD ST |
| City | BEDFORD |
| State | IN |
| Zip Code | 47421-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426092 | Dan Liviu Dusleag | Pediatrics | 1600 23rd St, Bedford, IN 47421 | 2005-09-08 |
| 1386258721 | Cassandra Skyer | Dietitian, Registered | 1600 23rd St, Bedford, IN 47421-4704 | 2020-09-02 |
| 1780971234 | St Vincent Dunn Hospital Inc | Medicare Defined Swing Bed Unit | 1600 23rd St, Bedford, IN 47421-4704 | 2011-07-06 |
| 1407168784 | St Vincent Dunn Hospital Inc | Ambulance | 1600 23rd St, Bedford, IN 47421-4704 | 2010-07-02 |
| 1316259690 | St Vincent Dunn Hospital Inc | Clinical Medical Laboratory | 1600 23rd St, Bedford, IN 47421-4704 | 2010-07-02 |
| 1497074728 | St. Vincent Dunn Hospital Inc. | General Acute Care Hospital | 1600 23rd St, Bedford, IN 47421-4704 | 2010-05-26 |
| 1376783043 | Dunn Memorial Hospital | Durable Medical Equipment & Medical Supplies | 1600 23rd St, Bedford, IN 47421-4704 | 2009-02-20 |
| 1184873739 | Indiana Emergency Physicians LLP | Emergency Medicine | 1600 23rd St, Bedford, IN 47421-4704 | 2008-09-18 |
| 1871785030 | Dunn Memorial Hospital | Clinic/Center | 1600 23rd St, Bedford, IN 47421-4704 | 2007-08-13 |
| 1588861074 | Penny Jo Clark | Physical Therapist | 1600 23rd St, Bedford, IN 47421-4704 | 2007-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406303 | Leana Michelle Massimini | Speech-Language Pathologist | 3710 Kenneth Simpson Ln, Bedford, IN 47421 | 2018-08-09 |
| 1497246888 | Sara Lehr Corry | Counselor | 2325 Q St., Bedford, IN 47421 | 2018-05-22 |
| 1760737274 | Lisa Lynne Autry | Social Worker | 2125 16th Street, Bedford, IN 47421 | 2012-07-20 |
| 1285998153 | Reid Clipp Crosby | Obstetrics & Gynecology | 118woodhill Dr, Bedford, IN 47421 | 2012-06-26 |
| 1730453184 | Fields Chiropractic Inc | Chiropractor | 2418 W 16th St, Bedford, IN 47421 | 2012-03-02 |
| 1639461783 | Lori Wininger | Physical Therapy Assistant | 2137 16th Street, Bedford, IN 47421 | 2011-05-09 |
| 1871743716 | Union Optical and Eyecare Center, Inc. | Optometrist | 3343 Michael Ave, Bedford, IN 47421 | 2008-09-29 |
| 1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
| 1336320563 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1510 Clinic Dr, Bedford, IN 47421 | 2007-11-15 |
| 1306031992 | Assisted Living Concepts Inc | Assisted Living Facility | 3008 Shawnee Drive, South Bedford, IN 47421 | 2007-09-07 |
| Find all providers in zip 47421 | ||||
| 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 |
|---|---|---|---|---|
| 1639791007 | Ccl Labs LLC | Clinical Medical Laboratory | 2700 Tibbets Dr Ste 102, Bedford, TX 76022-6900 | 2020-05-08 |
| 1831612290 | Paramount Laboratories, LLC | Clinical Medical Laboratory | 1903 Central Dr Ste 215, Bedford, TX 76021-5876 | 2017-07-18 |
| 1629517602 | Accu-fast Labs, LLC | Clinical Medical Laboratory | 2700 Tibbets Dr Ste 406, Bedford, TX 76022-6900 | 2017-02-23 |
| 1235544610 | Pinnacle Laboratories | Clinical Medical Laboratory | 1605 Airport Fwy Ste 200, Bedford, TX 76021-5730 | 2014-06-24 |
| 1003227646 | S&s Labs LLC | Clinical Medical Laboratory | 1903 Central Dr Ste 220, Bedford, TX 76021-5876 | 2014-05-16 |
| 1518208065 | Truform Optics Inc | Clinical Medical Laboratory | 400 Harwood Rd, Bedford, TX 76021-4150 | 2013-03-08 |
| 1013154749 | Bedford Research Foundation | Clinical Medical Laboratory | 124 South Rd., Bedford, MA 01730 | 2009-01-16 |
| 1003061375 | Home Based Care and Counseling Programe Inc. | Clinical Medical Laboratory | 1220 Airport Fwy # 490, Bedford, TX 76022-6785 | 2008-11-29 |
| 1518041516 | Robert Yowler | Clinical Medical Laboratory | 325 Hwy. 42 East, Bedford, KY 40006 | 2006-10-25 |
| 1184620775 | Diagnostic Laboratory Medicine, Inc | Clinical Medical Laboratory | 14 Crosby Dr, Bedford, MA 01730-1451 | 2005-06-28 |
| Find all providers in BEDFORD | ||||
Please comment or provide details below to improve the information on MID AMERICA CLINICAL LABORATORIES, LLC.
| 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.