| NPI | 1285610733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUNG S KIM Laboratory Director 260-373-3657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: IN 50000070A) |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2012-03-01 |