Mid America Clinical Laboratories, Llc

LBN: Mid America Clinical Laboratories, Llc
Mid America Clinical Laboratories, Llc is an health care organization with primary practice located at 1345 Unity Pl Suite 125, Lafayette IN 47905-5760. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Mid America Clinical Laboratories, Llc can be contacted via phone (765) 449-1848, or through Kmetz, Thomas via phone (317) 803-1010.

Contact Information

Primary practice address
1345 Unity Pl Suite 125 Lafayette IN 47905-5760
Phone: (765) 449-1848
Fax: (765) 449-8127
Website:
Map and Directions
Authorized official contact:
Name: Kmetz, Thomas
Phone: (317) 803-1010

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 15D0995210 Indiana

Profile Details

NPI number 1669431649
LBN Legal business name Mid America Clinical Laboratories, Llc
DBA Doing business as
Authorized official Kmetz, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated Dec 11th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669431649 NPPES
Indiana Other 15D0995210 CLIA
Indiana Other 7177548 CLIA
Indiana MEDICAID 200188040B CLIA

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