NPI 1659921617

Labcorp Indiana INC

Organisation Clinical Medical Laboratory Mishawaka, IN

Practice location

Address: 611 E Douglas Rd STE 300, Mishawaka, IN 46545-1467
Phone: (574) 413-8066
Fax: (574) 335-6231
Mailing address: 231 Maple Ave, Burlington, NC 27215-5848

Authorised official

Name: Kimberly T Williams
Title: Vice President
Phone: (800) 222-7566

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

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Registry record

NPI: 1659921617
Entity type: Organization
NPI issued: 12 Sep 2019
Record last updated: 14 Oct 2019

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.