NPI 1023421310

Mid America Clinical Laboratories, LLC

Organisation Clinical Medical Laboratory Brazil, IN

Practice location

Address: 1206 E National Ave, Brazil, IN 47834-2718
Phone: (812) 442-2525
Fax: (812) 442-2610
Mailing address: 2560 N Shadeland Ave, Indianapolis, IN 46219-1705

Authorised official

Name: Dianne Z. Vanness
Title: C.E.O./General Manager
Phone: (317) 803-1010

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 15D0362073 (IN)

Other Clinical Medical Laboratory providers in Indiana →

Registry record

NPI: 1023421310
Entity type: Organization
NPI issued: 4 Jun 2014
Record last updated: 4 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.