# ASSURANCE LAB TESTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417601204
- **Authorized official:** SHANNON HARRELL (DIRECTOR)
- **Authorized official phone:** (888) 948-1335

## Contact information

- **Practice address:** 3361 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46205-3415
- **Practice address phone:** (888) 948-1335
- **Mailing address:** 4961 SEVILLE DR, INDIANAPOLIS, IN 46228-2176
- **Mailing address phone:** (317) 332-8763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | NULL | Yes |
| 247ZC0005X | Clinical Laboratory Director (Non-physician) | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 02/09/2022