Organization
CYTOLOGY PATHOLOGY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIETER WIERSEMA MD (LABORATORY DIRECTOR)
(317) 255-3579
Entity
Organization
Contact information
Practice address
5865 MICHIGAN RD, INDIANAPOLIS, IN 46228-1740
(317) 255-3579
(317) 255-3530
Mailing address
5865 MICHIGAN RD, INDIANAPOLIS, IN 46228-1740
(317) 255-3579
(317) 255-3530
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
50002033A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100284860A
—
IN
Enumeration date
11/16/2006
Last updated
06/10/2011
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