| NPI | 1265437818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA DELLDEAN BROWN CEO 219-985-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 05137901) |
| Enumeration Date | 2005-06-19 |
| Last Update Date | 2020-08-22 |