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Organization

KIND HEART PHLEBOTOMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYSHARON MCDUFFIE PHLEBOTOMIST (PHLEBOTOMIST/OWNER)
(219) 776-0883
Entity
Organization

Contact information

Practice address
1100 E 56TH AVE, MERRILLVILLE, IN 46410-1726
(121) 947-2227
Mailing address
PO BOX 11226, MERRILLVILLE, IN 46411
(121) 988-8981

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
IN

Other

Enumeration date
04/10/2017
Last updated
04/10/2017
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