Northlake International Medical Laboratory

NPI #1265437818 in Gary, Indiana

Provider Information

NPI Number
1265437818
Entity Type
Organization
Organization Name
Northlake International Medical Laboratory
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jun 19, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
2200 GRANT ST
Address 2
STE 201
City
Gary
State
Indiana
ZIP Code
46404-3439
Phone
(219) 614-6833

Authorized Official

Name
MRS. PATRICIA DELLDEAN BROWN, C.T. (IAC)
Title
CEO
Phone
(219) 985-1315

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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