Organization
ESSENTIAL LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEDRICKA EPPERSON MSN, RN (CEO)
(260) 467-9837
Entity
Organization
Contact information
Practice address
6324 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 467-9837
Mailing address
6324 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 467-9837
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
04/07/2025
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