15D0684610 CLIA NUMBER - MIDWEST INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 15D0684610
  • Facility Name: MIDWEST INTERNAL MEDICINE PC
  • Facility Address: 1750 OAK HILL ROAD
    EVANSVILLE, IN
    ZIP 47711
  • Facility Phone: 812 424-4602
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT L. RUSCHE
  • NPI Number: 1285622241
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0684610
LAB Type Physician Office
Facility Name MIDWEST INTERNAL MEDICINE PC
Street 1750 OAK HILL ROAD
City EVANSVILLE
State IN
ZIP 47711
Phone 812 424-4602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ROBERT L. RUSCHE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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