Greenwood Medical Laboratory, INC

NPI #1811179104 in Greenwood, Indiana

Provider Information

NPI Number
1811179104
Entity Type
Organization
Organization Name
Greenwood Medical Laboratory, INC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Nov 29, 2007
Last Updated
Nov 29, 2007

Practice Location

Address
622 N MADISON AVE
State
Indiana
ZIP Code
46142-4082
Phone
(317) 881-4163

Authorized Official

Name
MR. J. EARL SMITH
Title
OWNER/PRESIDENT
Phone
(317) 881-4163

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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