| NPI | 1902803745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL W GREER Secretary/Treasurer 317-248-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D0647226) |
| Additional Taxonomies | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: IN 20647) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |