| NPI | 1700643764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA BUCKNER Manager 317-567-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174H00000X Health Educator | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |