| NPI | 1699743369 |
|---|---|
| Doing Business As | INTEGRATED DIAGNOSTIC LAB |
| Entity Type | Organization |
| Authorized Contact | HENRY BOCKELMAN President 812-450-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-22 |