| NPI | 1750366993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY H ELLIS President 765-646-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D0352175) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2008-03-17 |