Organization
DIAGNOSTIC SPINAL ANALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN TYMCHAK DC (OWNER)
(812) 480-1462
Entity
Organization
Contact information
Practice address
6699 WESTLAKE RD, NEWBURGH, IN 47630-2029
(812) 480-1462
Mailing address
6699 WESTLAKE RD, NEWBURGH, IN 47630-2029
(812) 480-1462
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
01/03/2013
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