Organization
PHOENIX CLINICAL LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIK M ELSHEIKH (PRESIDENT)
(317) 748-9743
Entity
Organization
Contact information
Practice address
8755 GUION RD, INDIANAPOLIS, IN 46268-3047
(317) 748-9743
Mailing address
12115 MAGNOLIA BLVD, SUITE 324, N HOLLYWOOD, CA 91607-2609
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01046076A
IN
Other
Enumeration date
11/28/2008
Last updated
12/15/2008
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