Organization
MID AMERICA CLINICAL LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KMETZ (CFO)
(317) 803-0071
Entity
Organization
Contact information
Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 453-8437
Mailing address
1201 S COLLEGEVILLE RD, COLLEGEVILLE, PA 19426-2998
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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