| NPI | 1750707899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE Z. VANNESS C.E.O./General Manager 317-803-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D1035790) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |