NPI 1720555170

St. Vincent Medical Group, INC.

Organisation Physiological Laboratory Greenwood, IN

Practice location

Address: 1300 Innovation Parkway #150, Greenwood, IN 46143-3625
Phone: (317) 583-4410
Mailing address: 250 W 96th St # 520, Indianapolis, IN 46260-1316

Authorised official

Name: Brian Morris
Title: Cfo
Phone: (317) 338-6234

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1720555170
Entity type: Organization
NPI issued: 24 Oct 2018
Record last updated: 12 Feb 2020

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.