Mid America Clinical Laboratories, LLC

NPI #1477966760 in Elwood, Indiana

Provider Information

NPI Number
1477966760
Entity Type
Organization
Organization Name
Mid America Clinical Laboratories, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jun 4, 2014
Last Updated
Jun 4, 2014

Practice Location

Address
1331 S A ST
City
Elwood
State
Indiana
ZIP Code
46036-1942
Phone
(765) 552-4640

Authorized Official

Name
MRS. DIANNE Z. VANNESS
Title
C.E.O./GENERAL MANAGER
Phone
(317) 803-1010

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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