Organization
INDIANA CLINICAL LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIPIN ALDHLAKHA (PRICIPAL)
(301) 233-0655
Entity
Organization
Contact information
Practice address
5635 W 96TH ST, SUITE 300, INDIANAPOLIS, IN 46278-6011
(301) 233-0655
Mailing address
5635 W 96TH ST, SUITE 300, INDIANAPOLIS, IN 46278-6011
(301) 233-0655
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IN
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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