| NPI | 1831130947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY YESSENOW CEO 219-922-4205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D1030021) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |