| NPI | 1104885052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE Z. VANNESS C.E.O./General Manager 317-803-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D1011663) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2008-09-16 |