15D2257248 CLIA NUMBER - INDIANA VASCULAR SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 15D2257248
  • Facility Name: INDIANA VASCULAR SURGERY CENTER, LLC
  • Facility Address: 2140 N CAPITOL AVENUE, SUITE 100
    INDIANAPOLIS, IN
    ZIP 46202
  • Facility Phone: 317 644-1404
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SANJAY MOHINDRA
  • NPI Number: 1053058255
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2257248
LAB Type Ambulatory Surgery Center
Facility Name INDIANA VASCULAR SURGERY CENTER, LLC
Street 2140 N CAPITOL AVENUE, SUITE 100
City INDIANAPOLIS
State IN
ZIP 46202
Phone 317 644-1404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Ambulatory Surgery Center
Lab Director SANJAY MOHINDRA

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This page was last updated on: 3/20/2025