| NPI | 1902567993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA JONES Director 219-666-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-01-04 |