15D0676459 CLIA NUMBER - STEPHEN R BECK MD INC

Laboratory Demographics

  • CLIA Code: 15D0676459
  • Facility Name: STEPHEN R BECK MD INC
  • Facility Address: 2704 E 62ND ST
    INDIANAPOLIS, IN
    ZIP 46220
  • Facility Phone: 317 257-1535
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN R. BECK
  • NPI Number: 1174639249
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0676459
LAB Type Physician Office
Facility Name STEPHEN R BECK MD INC
Street 2704 E 62ND ST
City INDIANAPOLIS
State IN
ZIP 46220
Phone 317 257-1535
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director STEVEN R. BECK

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This page was last updated on: 9/29/2025