NPI 1336552587

Mid America Clinical Laboratories, LLC

Organisation Clinical Medical Laboratory Anderson, IN

Practice location

Address: 2015 Jackson St, Anderson, IN 46016-4337
Phone: (765) 646-8225
Fax: (765) 608-2648
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 15D0352175 (IN)

Other Clinical Medical Laboratory providers in Indiana →

Registry record

NPI: 1336552587
Entity type: Organization
NPI issued: 5 Jun 2014
Record last updated: 5 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.