| NPI | 1871779157 |
|---|---|
| Doing Business As | COMMUNITY NORTH LABORISTS |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM CFO 317-355-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-06-17 |