| NPI | 1003910464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN E FOLLAS Partner 317-879-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN CLIA 15D1041781) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |