Organization
GREAT LAKES LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE VOLK (CHIEF EXECUTIVE OFFICER)
(219) 464-8885
Entity
Organization
Contact information
Practice address
1051 TRANSPORT DR, VALPARAISO, IN 46383-8433
(219) 464-8885
Mailing address
1051 TRANSPORT DR, VALPARAISO, IN 46383-8433
(219) 464-8885
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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