Organization
PARKE CLINIC PC
Active
Parent organization
PARKE CLINIC PC
Other names
Parke Clinic Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKE CLINIC PC
Authorized official
JOHN FRANKLIN SWAIM M.D. (PRESIDENT)
(765) 832-9301
Entity
Organization
Contact information
Practice address
503 ANDERSON ST, ROCKVILLE, IN 47872-1008
(765) 569-3182
(765) 569-2950
Mailing address
PO BOX 266, CLINTON, IN 47842-0266
(765) 832-9301
(765) 832-9302
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100283250
—
IN
Enumeration date
01/24/2007
Last updated
05/22/2014
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