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 2001 W 86Th St , Indianapolis IN 46260-1902. 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 (317) 803-0405, or through Kmetz, Thomas via phone (317) 803-1010.

Contact Information

Primary practice address
2001 W 86Th St Indianapolis IN 46260-1902
Phone: (317) 803-0405
Fax: (317) 803-0433
Website:
Map and Directions
Authorized official contact:
Name: Kmetz, Thomas
Phone: (317) 803-1010

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 15D0931996 Indiana

Profile Details

NPI number 1679533210
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 27th, 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 1679533210 NPPES
Indiana Other 15D0931996 CLIA
Indiana Other 1680601 CLIA
Indiana MEDICAID 200191460A CLIA

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