Organization
ASSURANCE LAB TESTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HARRELL (DIRECTOR)
(888) 948-1335
Entity
Organization
Contact information
Practice address
3361 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46205-3415
(888) 948-1335
Mailing address
4961 SEVILLE DR, INDIANAPOLIS, IN 46228-2176
(317) 332-8763
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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