| NPI | 1588600456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J WHEAT President And Director 317-856-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D0996262) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |