NPI 1053742320

Mid America Clinical Laboratories, LLC

Organisation Clinical Medical Laboratory Indianapolis, IN

Practice location

Address: 2560 N Shadeland Ave, Indianapolis, IN 46219-1705
Phone: (317) 803-1010
Fax: (317) 803-0186
Mailing address: 1907 W Sycamore St, Kokomo, IN 46901-5148

Authorised official

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

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 15D0358561 (IN)

Other Clinical Medical Laboratory providers in Indiana →

Registry record

NPI: 1053742320
Entity type: Organization
NPI issued: 11 Dec 2013
Record last updated: 30 Apr 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.