| NPI | 1780629659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN ADDINGTON Owner 765-455-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D0358655) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2009-12-15 |