| NPI | 1780637058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN E HAINLINE Physician 317-274-2966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SC0300X Medical Genetics, Clinical Cytogenetic |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| 207SG0203X Medical Genetics, Clinical Molecular Genetics | |
| 207SM0001X Medical Genetics, Molecular Genetic Pathology | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-08-01 |