MID AMERICA CLINICAL LABORATORIES, LLC
NPI 1568421402
Clinical Medical Laboratory in Indianapolis, IN

NPI Status: Active since March 20, 2006

Contact Information

7150 CLEARVISTA DR
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 803-0772
Fax: (317) 803-0186

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 15D0980113
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-01-2027

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 Indianapolis, Indiana operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1568421402 assigned on March 2006. The practitioner's primary taxonomy code is 291U00000X with license number 15D0354704 (IN). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Thomas Kmetz (Cfo)

NPI
1568421402
Provider Name
MID AMERICA CLINICAL LABORATORIES, LLC
Entity Type
Organization
Location Address
7150 CLEARVISTA DR INDIANAPOLIS, IN 46256
Location Phone
(317) 803-0772
Location Fax
(317) 803-0186
Mailing Address
2560 N SHADELAND AVE INDIANAPOLIS, IN 46219
Mailing Phone
(317) 803-0772
Mailing Fax
(317) 803-0186
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2006
Last Update Date
12-11-2018
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.
15D0354704
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

THOMAS KMETZ

Authorized Official Title
CFO
Authorized Official Phone
(317) 803-1010

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200191440AMEDICAID (05)IN 
2758601OTHER (01)INCAP
15D0354704OTHER (01)INCLIA #

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Blood creatinine level

A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.

This service was performed 27 times for 26 patients

Blood test, basic group of blood chemicals (calcium, total)

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

This service was performed 204 times for 116 patients

Blood test, clotting time

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

This service was performed 47 times for 35 patients

Blood test, comprehensive group of blood chemicals

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

This service was performed 161 times for 101 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

This service was performed 25 times for 23 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

This service was performed 238 times for 145 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 210 times for 175 patients

Magnesium level

A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.

This service was performed 48 times for 21 patients

Manual urinalysis test with examination using microscope, automated

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

This service was performed 46 times for 42 patients

Measurement c-reactive protein for detection of infection or inflammation

C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.

This service was performed 38 times for 22 patients

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
15D0980113
Facility Type
Hospital
Certificate Effective Date
February 02, 2025
Certificate Expiration Date
February 01, 2027
Laboratory Director
DR. ANJALI S. GODAMBE
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568421402
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512882240
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 8 + 2 + 2 + 4 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1568421402 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548233042 DONNA KAY SLEDGE-BROWN CRNA
Individual
Nurse Anesthetist, Certified Registered7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5890
1417910530 KRISTINA K MATHEIS
Individual
Counselor (Addiction (Substance Use Disorder))7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5700
1831141795 WILLIAM GRANT CARRUTHERS CRNA
Individual
Nurse Anesthetist, Certified Registered7150 CLEARVISTA DR NORTH/FAMILY ROOMS
INDIANAPOLIS, IN 46256
(317) 621-5890
1407921794COMMUNITY HOSPITALS OF INDIANA INC
Organization
Specialist7150 CLEARVISTA DR FAMILY ROOMS
INDIANAPOLIS, IN 46256
(317) 621-5890
1093873010 CHEEN T LUM PHARM.D.
Individual
Pharmacist (Psychiatric)7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5145
1497879134MR. LEE P RICHEY M.S.ED., LMFT
Individual
Marriage & Family Therapist7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5700
1720207277 PATRICIA SALYERS
Individual
Counselor (Mental Health)7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-7533
1295026185 ARCHANA RANI JHAWAR PHARMD
Individual
Pharmacist (Psychiatric)7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5278
1972558765 BARBARA KLEIN DAVIS CRNA
Individual
Nurse Anesthetist, Certified Registered7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5890
1811441280 LINDSAY WASIK LCSW
Individual
Social Worker (Clinical)7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5719
1932647880DR. BRANDON R CHAMBERS PHARMD, RPH
Individual
Pharmacist7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-6262
1821514142 DANIELLE THOMAS PHARMD
Individual
Pharmacist7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5278
1174042634 KIMBERLY SUE BLACK RN
Individual
Registered Nurse (General Practice)7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 509-5321
1235627282ADAM C. COHEN PLASTIC SURGERY, LLC
Organization
Plastic Surgery7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-6262
1932668209 JAMIE LYNN NEWMAN RN
Individual
Registered Nurse (Medical-Surgical)7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5170
1982665774 JOHN FREELAND CRNA
Individual
Nurse Anesthetist, Certified Registered7150 CLEARVISTA DR ATTN: DIANN LYDELL-JONES CHIEF 4TH FLR. OB ANESTHESIA
INDIANAPOLIS, IN 46256
(317) 621-5890
1417173337COMMUNITY HOSPITALS OF INDIANA
Organization
Specialist7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 355-2223
1053399279 DIANN RENEE LYDELL-JONES CRNA, FNP-C
Individual
Nurse Anesthetist, Certified Registered7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5890
1548420425 MATTHEW CRAIG LEWIS MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 274-4715
1477073880 AMANDA F KEAFER NP
Individual
Nurse Practitioner (Neonatal, Critical Care)7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
(317) 621-5488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568421402, enumerated in the NPI registry as an "organization" on March 20, 2006

The provider is located at 7150 Clearvista Dr Indianapolis, In 46256 and the phone number is (317) 803-0772

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Blood creatinine level, Blood test, basic group of blood chemicals (calcium, total), Blood test, clotting time, Blood test, comprehensive group of blood chemicals, Complete blood cell count (red cells, white blood cell, platelets), automated test, Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, Insertion of needle into vein for collection of blood sample, Magnesium level, Manual urinalysis test with examination using microscope, automated and Measurement c-reactive protein for detection of infection or inflammation.

The provider's CLIA number is 15D0980113 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued 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..

This NPI record was last updated on March 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.