| NPI | 1841344165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSETTE CHERIE JACKSON Office Manager 219-985-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: IN 01046988) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-06-25 |