NPI 1164669255
Blackbird Clinical Services, LLC
Practice location
- Address
- 2 Executive Dr STE D, Lafayette, IN 47905-4878
- Phone
- (765) 447-8700
Authorised official
- Name
- Kimi L. Hathaway
- Title
- President/ Ceo
- Phone
- (765) 447-8700
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1164669255
- Entity type
- Organization
- NPI issued
- 12 Jan 2009
- Record last updated
- 12 Jan 2009
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.