NPI 1063715266

Sugar Creek Investors, LLC

Organisation Clinical Medical Laboratory Greenfield, IN

Practice location

Address: 5430 W US Highway 40, Greenfield, IN 46140-8803
Phone: (317) 894-3301

Authorised official

Name: Mark Ide
Title: President
Phone: (317) 894-3301

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 15D0710176 (IN)

Other Clinical Medical Laboratory providers in Indiana →

Registry record

NPI: 1063715266
Entity type: Organization
NPI issued: 9 Dec 2010
Record last updated: 9 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.