| NPI | 1386717940 |
|---|---|
| Former Legal Business Name | DERMATOPATHOLOGY LABORATORY |
| Entity Type | Organization |
| Authorized Contact | CHRISTY D. LYNN Billing Clerk 317-843-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D0647261) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-06-10 |