Organization
LEGACII CLINICAL LABORATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L'TIA RENEE LEWIS RN (LABORATORY DIRECTOR)
(317) 918-7542
Entity
Organization
Contact information
Practice address
8695 CONNECTICUT ST STE C, MERRILLVILLE, IN 46410-6240
(219) 525-4130
Mailing address
6613 HAZELHATCH DR, INDIANAPOLIS, IN 46268-8633
(317) 918-7542
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/10/2023
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