| NPI | 1649518135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVE ANNIE NICHOLS Medical Laboratory Technician 317-702-2115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |