Organization
BONDED BY BLOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNIECE WATSON CPT (OWNER/EMPLOYEE)
(574) 514-8635
Entity
Organization
Contact information
Practice address
3632 LILAC RD, SOUTH BEND, IN 46628-3852
(574) 514-8635
Mailing address
3632 LILAC RD, SOUTH BEND, IN 46628-3852
(574) 514-8635
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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