| NPI | 1275060816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA F MAGARUH Managed Care Consultant 317-319-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2022-07-21 |