| NPI | 1831844539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYSIA ROBERTS Lab Coordinator/Director 219-248-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 207PE0004X Emergency Medicine, Emergency Medical Services | |
| 261Q00000X | |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2022-02-21 |