Organization
MID AMERICA CLINICAL LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE Z. VANNESS (C.E.O./GENERAL MANAGER)
(317) 803-1010
Entity
Organization
Contact information
Practice address
8111 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-2479
(317) 415-7657
(617) 415-7658
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
15D1035790
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D1035790
CLIA
IN
Enumeration date
03/13/2014
Last updated
03/13/2014
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