15D2067414 CLIA NUMBER - MERIDIAN MEDICAL SERVICES, INC

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Laboratory Demographics

CLIA Number: 15D2067414

Facility Name: MERIDIAN MEDICAL SERVICES, INC

Facility Address:
3524 N MERIDIAN STREET
INDIANAPOLIS, IN
ZIP 46208
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Facility Phone Number: 317 925-0653

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1255579942

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	15D2067414
LAB Type	Independent
Facility Name	MERIDIAN MEDICAL SERVICES, INC
Street	3524 N MERIDIAN STREET
City	INDIANAPOLIS
State	IN
ZIP	46208
Phone	317 925-0653
CertificateType	4
CertificateEffectiveDate	9/3/2023
CertificateExpirationDate	9/2/2025
FacilityType	Waiver

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