| NPI | 1194840595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WILLIAMS VP 317-874-1297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-11-26 |