| NPI | 1851430847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A HENRY Medical Director And Co Owner 317-817-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D0665868) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |