| NPI | 1770621161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R BENSON Chief Physician Executive 317-580-6304 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2022-03-29 |