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NPI Code Detail

MEDICARE: MERIDIAN LABORATORY SERVICES LLC

MEDICARE: MERIDIAN LABORATORY SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory15D2067414IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115D2067414OTHERINCLIA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437514817
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERIDIAN LABORATORY SERVICES LLC
Provider Business Mailing Address
First Line : 3524 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-4486
Country : US
Telephone Number : 317-496-7137
Fax Number :
Provider Business Practice Location Address
First Line : 3524 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-4486
Country : US
Telephone Number : 317-925-0653
Fax Number : 317-925-0774
Authorized Official
Title or Position : CEO
Name : MS. ELSE COLE
Credential :
Telephone Number : 317-496-7137
Provider Enumeration Date : 12/29/2015
Last Update Date : 09/16/2025

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Directions to “MERIDIAN LABORATORY SERVICES LLC ” Practice Location

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