| NPI | 1588669667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM F HRISOMALOS Director Of Lab 812-355-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D0360681) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2008-09-26 |