Healther Providers Data Logo

15D2169755 CLIA NUMBER - MIDS LLC, DBA MICHIANA INFECTIOUS DISEASE SPECIALISTS

Laboratory Demographics

CLIA Number: 15D2169755

Facility Name: MIDS LLC, DBA MICHIANA INFECTIOUS DISEASE SPECIALISTS

Facility Address:
3838 N MAIN ST, STE 1C
MISHAWAKA, IN
ZIP 46545
Get Directions

Facility Phone Number: 574 404-3980

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1366097016

Taxonomy: 207RI0200X - Internal Medicine
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

CLIA Record

Field Name Field Value
CLIA Number 15D2169755
LAB Type Physician Office
Facility Name MIDS LLC, DBA MICHIANA INFECTIOUS DISEASE SPECIALISTS
Street 3838 N MAIN ST, STE 1C
City MISHAWAKA
State IN
ZIP 46545
Phone 574 404-3980
CertificateType 4
CertificateEffectiveDate 7/26/2023
CertificateExpirationDate 7/25/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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