OrganizationActive
Indiana State Department of Health
NPI 1265755136 · Clinical Medical Laboratory · Indianapolis, IN
Provider details
- NPI number
- 1265755136
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Indiana State Department of Health
- Organization subpart
- Yes
- Authorized official
- Lixia Liu, Laboratory Director(317) 921-8509
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 W 16th Street
Sutie B
Indianapolis, IN 46202-7804
Phone: (317) 921-5500
Fax: (317) 927-7801
Street-level locationGet directions
Mailing address
550 W 16th Street
Indianapolis, IN 46202-7804
Other names (DBA / former)
- Doing business as
- Indiana Department of Health State Laboratory
- Other name
- Indiana State Health Laboratory
- Other name
- Indiana State Health Laboratory
Registry dates
- Enumerated
- 2010-03-08
- Last updated
- 2020-09-16
- Certified
- 2020-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.