| NPI | 1033304118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETELKA K FROYMOVICH President 317-471-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 1500923436) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |