MIRAVISTA DIAGNOSTICS, LLC
NPI 1588600456
Clinical Medical Laboratory in Indianapolis, IN

Active since June 21, 2006CLIA 15D0996282 · Accreditation
4444 DECATUR BLVD, SUITE 300, INDIANAPOLIS, IN 46241(317) 856-2681(317) 856-3685 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Miravista Diagnostics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRAVISTA DIAGNOSTICS, LLC (NPI 1588600456) is a healthcare organization registered as a clinical medical laboratory in Indianapolis, Indiana and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through February 9, 2028 and lists Lawrence J Wheat, President And Director, as its authorized official.

NPPES Registry Identity

NPI1588600456
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMIRAVISTA DIAGNOSTICS, LLC
Location Address4444 DECATUR BLVD, SUITE 300Indianapolis, IN 46241-9537
Mailing Address4444 Decatur Blvd, Suite 300Indianapolis, IN 46241-9537 · (317) 856-2681 · Fax (317) 856-3685
Fax(317) 856-3685
Organization SubpartNo
Authorized OfficialLawrence J WheatPresident And Director · (317) 856-2681
Enumeration DateJune 21, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1588600456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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.
4444 DECATUR BLVD, Indianapolis, IN 46241

Other Identifiers 1

Other7182293Cap (college Of Am Path)

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 15D0996282

Miravista Diagnostics, LLC · Indianapolis, IN
Active · expires Feb 9, 2028
CLIA Number15D0996282
Laboratory TypeIndependent
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorDr. Lauren Cooper
Laboratory Phone(317) 856-2681
Laboratory LocationMiravista Diagnostics, LLC4705 Decatur Blvd, Indianapolis, IN 46241
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miravista Diagnostics, LLC's NPI number?

The NPI number for Miravista Diagnostics, LLC is 1588600456. It was assigned to this organization in the NPPES registry on June 21, 2006.

Where is Miravista Diagnostics, LLC located?

Miravista Diagnostics, LLC is located at 4444 Decatur Blvd Suite 300, Indianapolis, IN 46241. The listed phone number is (317) 856-2681.

What is Miravista Diagnostics, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Miravista Diagnostics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 15D0996282) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Miravista Diagnostics, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.