| NPI | 1114228723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE S. TEAGUE CFO Owner 219-939-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01026604A) |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2014-09-05 |