| NPI | 1265182000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MATTINGLY Owner 317-523-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246QL0901X Spec/Tech, Pathology, Laboratory Management, Diplomate |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |