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1265193429
DIVINE DIAGNOSTICS LLC
INDIANAPOLIS, IN
NPI
1265193429
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Entity Type
Organization
Authorized Contact
PATRICE ELLIS
CEO
317-294-5808
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2022-01-09
Last Update Date
2022-01-09
Business Address
DIVINE DIAGNOSTICS LLC
2608 W 44TH ST
INDIANAPOLIS, IN 46228-2037
Phone number: 317-294-5808
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Mailing Address
DIVINE DIAGNOSTICS LLC
2608 W 44TH ST
INDIANAPOLIS, IN 46228-2037
Phone number: 317-294-5808
Copy
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