| NPI | 1699852772 |
|---|---|
| Other Name | HCMH DIVERSIFIED PROF LAB |
| Entity Type | Organization |
| Authorized Contact | PAUL F JANSSEN President 765-521-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-09-26 |