Healthcare Provider Details

I. General information

NPI: 1922814060
Provider Name (Legal Business Name): I MEAN BUSINESS LABORATORY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2024
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5502 E 36TH ST
INDIANAPOLIS IN
46218-1813
US

IV. Provider business mailing address

5625 N GERMAN CHURCH RD STE 2073
INDIANAPOLIS IN
46235-8513
US

V. Phone/Fax

Practice location:
  • Phone: 317-647-6878
  • Fax: 844-273-3367
Mailing address:
  • Phone: 317-647-6878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QG0250X
TaxonomyGenetics Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MS. TWANITA JONES
Title or Position: LAB DIRECTOR
Credential:
Phone: 317-647-6878