| NPI | 1811016231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LEE GENTRY President 317-817-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D0992300) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |