| NPI | 1659848521 |
|---|---|
| Doing Business As | GATEWAY LAB |
| Entity Type | Organization |
| Authorized Contact | STEVEN LONG CEO 317-468-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2019-06-25 |