| NPI | 1922814060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWANITA JONES Lab Director 317-647-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QG0250X Clinic/Center, Genetics |
| 261QH0100X Clinic/Center, Health Services | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-01-09 |