# ST. MARY'S FREESTANDING CATH LAB LLC

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

## Provider details

- **NPI number:** 1760442883
- **Authorized official:** MR. JAN ERNEST (SECRETARY/TREASURER)
- **Authorized official phone:** (812) 485-4573

## Contact information

- **Practice address:** 901 SAINT MARYS DR, EVANSVILLE, IN 47714-0520
- **Practice address phone:** (812) 485-7409
- **Practice address fax:** (812) 485-7416
- **Mailing address:** PO BOX 15253, EVANSVILLE, IN 47716-0253
- **Mailing address phone:** (812) 204-8429
- **Mailing address fax:** (812) 485-7416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | IN | Yes |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 04/20/2008