| NPI | 1477514867 |
|---|---|
| Doing Business As | GLENDALE MEDICAL LAB |
| Entity Type | Organization |
| Authorized Contact | CHERYL HAMMOND CFO 219-364-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |