Organization · Type 2 NPI

Indiana State Department of Health

Clinical Medical Laboratory · Indianapolis, IN

NPI number 1265755136 Active

Practice location

550 W 16th Street, Sutie B
Indianapolis, IN 46202-7804

Fax (317) 927-7801

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1265755136
Entity type: Organization (Type 2)
Issued: Mar 8, 2010
Last updated: Sep 16, 2020
Status: Active
Subpart: Yes of Indiana State Department of Health

Other names

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Indiana Department of Health State Laboratory · doing business as
Indiana State Health Laboratory · other name
Indiana State Health Laboratory · other name

Authorized official

Dr. Lixia Liu, PhD, D(ABMM)
Laboratory Director
(317) 921-8509

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1265755136

Indiana State Department of Health's National Provider Identifier is 1265755136, issued on Mar 8, 2010. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 16, 2020.