| NPI | 1215713789 |
|---|---|
| Former Legal Business Name | ESSENTIAL LAB SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | SHAWNISHA LEWIS Manger 317-966-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |