MID AMERICA CLINICAL LABORATORIES, LLC
NPI 1336552587
Clinical Medical Laboratory in Anderson, IN

NPI Status: Active since June 05, 2014

Contact Information

2015 JACKSON ST
ANDERSON, IN
ZIP 46016
Phone: (765) 646-8225
Fax: (765) 608-2648

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinical Medical Laboratory
CLIA Number: 15D0352175
CLIA Cert. Type: Hospital
CLIA Exp. Date: 02-08-2027

About MID AMERICA CLINICAL LABORATORIES, LLC

This page provides the complete NPI Profile along with additional information for Mid America Clinical Laboratories, Llc, a provider established in Anderson, Indiana operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1336552587 assigned on June 2014. The practitioner's primary taxonomy code is 291U00000X with license number 15D0352175 (IN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mrs. Dianne Z. Vanness (C.e.o./general Manager)

NPI: 1336552587
Provider Name: MID AMERICA CLINICAL LABORATORIES, LLC
Entity Type: Organization
Location Address: 2015 JACKSON ST ANDERSON, IN 46016
Location Phone: (765) 646-8225
Location Fax: (765) 608-2648
Mailing Address: 2560 N SHADELAND AVE INDIANAPOLIS, IN 46219
Mailing Phone: (317) 803-1010
Mailing Fax: (765) 608-2648
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-05-2014
Last Update Date: 06-05-2014
Code Navigator

Establishments like Mid America Clinical Laboratories, Llc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinical Medical Laboratory
Taxonomy Code: 291U00000X
Type: Laboratories
License No.: 15D0352175
License State: IN
Taxonomy Description: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 15D0352175
Facility Type: Hospital
Certificate Effective Date: February 09, 2025
Certificate Expiration Date: February 08, 2027
Laboratory Director: DR. ELIZABETH C. BERTSCH
Certificate Type: Certificate of Accreditation
Certificate Type Description: This is a CLIA certificate is issued to Mid America Clinical Laboratories, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336552587, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 6

Pos 4

Unchanged

Pos 5

Doubled → 10 → 1 + 0

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 1 + 0 + 5 + 4 + 5 + 1 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7

This NPI is valid

The calculated check digit is 7, which matches the last digit of 1336552587.