| NPI | 1063715266 |
|---|---|
| Doing Business As | SUGAR CREEK REHABILITATION CONVALESCENT CENTER - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MARK IDE President 317-894-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D0710176) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |