Organization
LAB EXPRESS INDIANA INCORPORATED
Active
Other names
LAB EXPRESS INDIANA
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN VILLAFANAE JR. (PRESIDENT)
(503) 747-7427
Entity
Organization
Contact information
Practice address
10475 CROSSPOINT BLVD, SUITE 250, INDIANAPOLIS, IN 46256-3386
(503) 747-7427
Mailing address
10475 CROSSPOINT BLVD, SUITE 250, INDIANAPOLIS, IN 46256-3386
(503) 747-7427
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
11/02/2015
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