Organization
MID AMERICA CLINICAL LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNE Z. VANNESS (CEO/GENERAL MANAGER)
(317) 803-1010
Entity
Organization
Contact information
Practice address
9669 E 146TH ST, NOBLESVILLE, IN 46060-5005
(317) 803-1010
(317) 803-0186
Mailing address
2560 N SHADELAND AVE, INDIANAPOLIS, IN 46219-1705
(317) 803-1010
(317) 803-0186
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
15D2049805
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D2049805
CLIA
IN
Enumeration date
11/19/2012
Last updated
11/19/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us