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1841358173
MADISON AVENUE MEDICAL LABORATORY INC.
INDIANAPOLIS, IN
NPI
1841358173
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Entity Type
Organization
Authorized Contact
LARRY WAYNE MILLER
President
317-887-6407
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2006-12-06
Last Update Date
2014-05-19
Business Address
MADISON AVENUE MEDICAL LABORATORY INC.
8523 MADISON AVENUE SUITE B
INDIANAPOLIS, IN 46227
Phone number: 317-887-6407
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Mailing Address
MADISON AVENUE MEDICAL LABORATORY INC.
8523 MADISON AVENUE SUITE B
INDIANAPOLIS, IN 46227
Phone number: 317-887-6407
Copy
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