OrganizationActive
Mid America Clinical Laboratories, LLC
NPI 1699189704 · Clinical Medical Laboratory · Indianapolis, IN
Provider details
- NPI number
- 1699189704
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Dianne Vanness, C.e.o./General Manager(317) 803-1010
- License
- 15D0354030 (IN)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3630 Guion Rd
Indianapolis, IN 46222-1616
Phone: (317) 920-7370
Fax: (317) 803-0186
Street-level locationGet directions
Mailing address
2560 N Shadeland Ave
Indianapolis, IN 46219-1705
Registry dates
- Enumerated
- 2014-06-17
- Last updated
- 2014-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.