Lifeplex Diagnostic Center, L.l.c.

NPI #1033302203 in Plymouth, Indiana

Provider Information

NPI Number
1033302203
Entity Type
Organization
Organization Name
Lifeplex Diagnostic Center, L.l.c.
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Aug 21, 2007
Last Updated
Sep 8, 2008

Practice Location

Address
2855 MILLER DR
Address 2
SUITE 113
State
Indiana
ZIP Code
46563-8091
Phone
(574) 941-1090

Authorized Official

Name
BYRON M HOLM JR., M.D.
Title
MEMBER
Phone
(574) 936-7777

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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