15D0352644 CLIA NUMBER - AMERICAN HEALTH NETWORK OF INDIANA, LLC

Laboratory Demographics

CLIA Number: 15D0352644

Facility Name: AMERICAN HEALTH NETWORK OF INDIANA, LLC

Facility Address:
8607 E US HWY 36
AVON, IN
ZIP 46123
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Facility Phone Number: 317 745-5403

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417044454

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	15D0352644
LAB Type	Physician Office
Facility Name	AMERICAN HEALTH NETWORK OF INDIANA, LLC
Street	8607 E US HWY 36
City	AVON
State	IN
ZIP	46123
Phone	317 745-5403
CertificateType	4
CertificateEffectiveDate	2/5/2023
CertificateExpirationDate	2/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024