| NPI | 1588828966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY D. LYNN Office Manager 317-843-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 12006898a) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |