MID AMERICA CLINICAL LABORATORIES, LLC


Address: 3630 Guion Rd, Indianapolis, IN 46222-1616
Phone: 3179207370

MID AMERICA CLINICAL LABORATORIES, LLC (NPI# 1699189704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699189704
Entity Type Organization
Organization Name MID AMERICA CLINICAL LABORATORIES, LLC
Practice Address 3630 Guion Rd
Indianapolis
IN 46222-1616
Mailing Address 2560 N Shadeland Ave
Indianapolis
IN 46219-1705
Practice Telephone 3179207370
Practice Fax Number 3178030186
Mailing Telephone 3178031010
Mailing Fax Number 3178030186
Enumeration Date 2014-06-17
Last Update Date 2014-06-17
Authorized Official Name MRS. DIANNE Z. VANNESS (C.E.O./GENERAL MANAGER)
Authorized Official Telephone 3178031010
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 15D0354030 IN Laboratories

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1104885052 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 1950 W 86th St, Suite 100, Indianapolis, IN 46260-2076 2006-03-20
1467866251 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 10580 N Meridian St, Indianapolis, IN 46290-1028 2014-06-19
1326451113 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 911 N Shelby St, Salem, IN 47167-2304 2014-06-09
1336552587 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 2015 Jackson St, Anderson, IN 46016-4337 2014-06-05
1023421310 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 1206 E National Ave, Brazil, IN 47834-2718 2014-06-04
1669885950 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 1600 23rd St, Bedford, IN 47421-4704 2014-06-04
1477966760 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 1331 S A St, Elwood, IN 46036-1942 2014-06-04
1477966778 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 412 N Monroe St, Williamsport, IN 47993-1049 2014-06-04
1831502129 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 3700 Washington Ave, Evansville, IN 47714-0542 2014-06-04
1275953135 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 1440 E County Line Rd, Suite 1300, Indianapolis, IN 46227-0963 2014-04-18

Office Location

Street Address 3630 GUION RD
City INDIANAPOLIS
State IN
Zip Code 46222-1616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841297165 Ben Huang Emergency Medicine 3630 Guion Rd, Indianapolis, IN 46222-1616 2005-07-01
1679946545 Aspen Leaf Emergency Physicians, LLC Physician Assistant 3630 Guion Rd, Indianapolis, IN 46222-1616 2015-11-02
1972903987 Wigeon Emergency Physicians LLC Physician Assistant 3630 Guion Rd, Indianapolis, IN 46222-1616 2014-08-27
1972942126 Christine Young Jung Family Medicine 3630 Guion Rd, Indianapolis, IN 46222-1616 2013-06-20
1881942282 Guion Road Inpatient Services LLC Physician Assistant 3630 Guion Rd, Indianapolis, IN 46222-1616 2012-08-16
1659660553 Chiaki Nakanishi Anesthesiology 3630 Guion Rd, Indianapolis, IN 46222-1616 2011-03-31
1922322486 Mark Allen Stacy Anesthesiology 3630 Guion Rd, Indianapolis, IN 46222-1616 2010-03-26
1285966580 Timothy Paul Deutscher Family Medicine 3630 Guion Rd, Indianapolis, IN 46222-1616 2010-02-11
1184827404 American Health Network of Indiana, LLC Internal Medicine 3630 Guion Rd, Indianapolis, IN 46222-1616 2007-06-06
1912038373 Axis Radiology, P.C. Radiology 3630 Guion Rd, Indianapolis, IN 46222-1616 2007-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871194472 Megan Mccullough Pharmacist 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 2020-11-02
1215401450 Resilient Services Counselor 3519 W Michigan Street, Indianapolis, IN 46222 2019-01-21
1376925487 Ossama Elbarawy Dentist 2410 W. 17th St, Indianapolis, IN 46222 2015-06-25
1780025163 Suzy Q Service Cororation Chore Provider 2401 N Tibbs Ave, Indianapolis, IN 46222 2013-07-12
1952607939 Monica Lee Mcmullen Dietitian, Registered 2732 West Michigan St., Westside Health Center, Indianapolis, IN 46222 2011-02-08
1306082318 Jose Fanor Melendez Psychiatry & Neurology 3422 N. Taft Av, Indianapolis, IN 46222 2008-12-22
1861693277 David Hazra Preventive Medicine 340 S. White River Parkway, Indianapolis, IN 46222 2007-05-31
1528191467 Rem Indiana Intermediate Care Facility, Mentally Retarded 3025 Green Hills Lane, Indianapolis, IN 46222 2007-03-13
1366589467 Indianapolis Osteopathic Hospital Inc. Podiatrist 3520 Guion Rd Suite 204, Indianapolis, IN 46222 2007-01-30
1508919077 Ronald L. Gemma Family Medicine 3750 Guion Rd., Ste. 185, Indianapolis, IN 46222 2007-01-19
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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1720409154 Patients Choice Laboratories of Indiana, LLC Clinical Medical Laboratory 7026 Corporate Dr, Indianapolis, IN 46278-1937 2014-01-03
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1649518135 Phlebotomy Connection, LLC Clinical Medical Laboratory 3806 West 86th St, Suite B, Indianapolis, IN 46268 2013-01-18
1194033092 State of Indiana Auditor of State Clinical Medical Laboratory 550 W 16th St Ste B, Indianapolis, IN 46202-2218 2010-09-14
1265755136 Indiana State Department of Health Clinical Medical Laboratory 550 W 16th Street, Sutie B, Indianapolis, IN 46202-7804 2010-03-08
1588996870 Martin Center, Inc. Clinical Medical Laboratory 3549 N College Ave, Indianapolis, IN 46205-3733 2010-02-11
1558595124 In Sook Seo Clinical Medical Laboratory 1555 E 79th St, Indianapolis, IN 46240-2702 2009-05-11
1235389297 Indiana University School of Medicine, Department of Pathology and Lab Clinical Medical Laboratory 635 Barnhill Dr # Ms 128, Indianapolis, IN 46202-5126 2008-09-26
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Competitor

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City INDIANAPOLIS
Zip Code 46222

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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