Mid America Clinical Laboratories, LLC
Organization Active NPI Clinical Medical Laboratory · Williamsport, IN
NPI 1477966778 · NPPES record last updated Jun 4, 2014
Key facts
- NPI
- 1477966778
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 15D0035759 (IN)
- Legal business name
- MID AMERICA CLINICAL LABORATORIES, LLC
- Practice address
- 412 N Monroe St
Williamsport, IN 47993-1049 - Phone
- (765) 762-4072
- Fax
- (765) 762-4197
- NPI assigned
- Jun 4, 2014
- Organization subpart
- No
Authorized official
- Name
- Mrs. Dianne Z. Vanness
- Title
- C.E.O./General Manager
- Phone
- (317) 803-1010
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Mid America Clinical Laboratories LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 15D0035759 | IN | Yes |
Addresses
Primary practice location
412 N Monroe St
Williamsport, IN 47993-1049
Mailing address
2560 N Shadeland Ave
Indianapolis, IN 46219-1705
Phone (317) 803-1010
Other providers in Williamsport, IN
- Jon Brent Inman
- James D Jordan
- Jatinder N Kaushal
- Sean James Kennedy
- Lafayette Pain Care, P.C.
- MSD of Warren County
- John Francis Derecho Pascua
- Quality Life Care, LLC
- Anita Michelle Rice
- William Ringer
All providers in Williamsport, IN · Clinical Medical Laboratory in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.