NPI 1104885052
Mid America Clinical Laboratories, LLC
Practice location
- Address
- 1950 W 86th St Suite 100, Indianapolis, IN 46260-2076
- Phone
- (317) 803-0330
- Fax
- (317) 334-0709
- Mailing address
- 2560 N Shadeland Ave P.O. Box 19163, Indianapolis, IN 46219-1705
Authorised official
- Name
- Dianne Z. Vanness
- Title
- C.E.O./General Manager
- Phone
- (317) 803-0300
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1104885052
- Entity type
- Organization
- NPI issued
- 20 Mar 2006
- Record last updated
- 16 Sep 2008
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.