| NPI | 1902882210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA PEREZ Delegate 812-548-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D1019268) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2024-05-08 |