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 |