| NPI | 1780409482 |
|---|---|
| Doing Business As | PREVENTX |
| Entity Type | Organization |
| Authorized Contact | STEPHEN JAMES JORDAN Lab Director 317-274-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |