| NPI | 1255369906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERELY GRADDY President 317-566-9846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 01040224A) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |