| NPI | 1275154841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MARTIN CEO 317-670-6635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |