Organization
DCL MEDICAL LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(317) 874-1297
Entity
Organization
Contact information
Practice address
9550 ZIONSVILLE RD, INDIANAPOLIS, IN 46268-1065
(800) 377-9364
Mailing address
9550 ZIONSVILLE RD, INDIANAPOLIS, IN 46268-1065
(800) 377-9364
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550555
ANTHEM BCBS
IN
01
—
06032266
BCBS IL
IL
01
—
08222860
BCBS IL
IL
05
—
200405290A
—
IN
05
—
200884260A
—
IN
01
—
CB9306
RAILROAD MEDICARE
—
01
—
CF9854
RAILROAD MEDICARE
—
01
—
DG6017
RAILROAD MEDICARE
IL
01
—
DG7215
RAILROAD MEDICARE
IN
01
—
P00443907
RAILROAD MEDICARE
IN
01
—
P00466399
RAILROAD MEDICARE
IL
Enumeration date
03/21/2007
Last updated
11/26/2013
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