Organization · NPI-2

Assurance Lab Tests

Pathology, Clinical Laboratory Director, Non-physician · Indianapolis, IN

NPI number1417601204
StatusActive
Last updated in NPPESFeb 9, 2022

Details

NPI
1417601204
Entity type
Organization (NPI-2)
Legal business name
Assurance Lab Tests
Organization subpart
No
Enumeration date
Feb 9, 2022
Certification date
Feb 9, 2022
Last updated
Feb 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician––Yes

Practice location

3361 N Pennsylvania St
Indianapolis, IN 46205-3415

Phone 888-948-1335

Mailing address

4961 Seville Dr
Indianapolis, IN 46228-2176

Phone 317-332-8763

Authorized official

Shannon Harrell
Director
8889481335

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