| NPI | 1043294143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE W HUGHES Director Of Laboratory 765-456-5729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D0358561) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-08-22 |