15D2228105 CLIA NUMBER - MY MOBILE DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 15D2228105
  • Facility Name: MY MOBILE DIAGNOSTICS LLC
  • Facility Address: 429 E VERMONT ST STE 300
    INDIANAPOLIS, IN
    ZIP 46202
  • Facility Phone: 317 559-0950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOE BANKS
  • NPI Number: 1992372031
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2228105
LAB Type Physician Office
Facility Name MY MOBILE DIAGNOSTICS LLC
Street 429 E VERMONT ST STE 300
City INDIANAPOLIS
State IN
ZIP 46202
Phone 317 559-0950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director JOE BANKS

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