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15D1086804 CLIA NUMBER - AMERICAN HEALTH NETWORK OF INDIANA, LLC

Laboratory Demographics

CLIA Number: 15D1086804

Facility Name: AMERICAN HEALTH NETWORK OF INDIANA, LLC

Facility Address:
2300 MARKET STREET
CHARLESTOWN, IN
ZIP 47111
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Facility Phone Number: 812 256-1106

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1306459011

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 15D1086804
LAB Type Physician Office
Facility Name AMERICAN HEALTH NETWORK OF INDIANA, LLC
Street 2300 MARKET STREET
City CHARLESTOWN
State IN
ZIP 47111
Phone 812 256-1106
CertificateType 4
CertificateEffectiveDate 6/1/2023
CertificateExpirationDate 5/31/2025
FacilityType Waiver

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