| NPI | 1528659216 |
|---|---|
| Doing Business As | THE SOUTH BEND CLINIC LABORATORY |
| Entity Type | Organization |
| Authorized Contact | KELLY E MACKEN-MARBLE CEO 574-239-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |