Prorenata Diagnostics, LLC
Clinic/Center, Health Services in Greenwood, IN. Organization (NPI-2).
NPI number1942071915
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1942071915
- Entity type
- Organization (NPI-2)
- Legal business name
- Prorenata Diagnostics, LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2024
- Certification date
- Jan 9, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
1248 Hamilton DrGreenwood, IN 46143-5530
Phone 800-396-4291
Mailing address
8063 Madison AvePmb 571
Indianapolis, IN 46227
Phone 800-396-4291
Authorized official
Taleia Powell
Owner
8003964291
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