Organization
ALVERNO CLINICAL LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL VANCE (PRESIDENT / CEO)
(219) 989-3714
Entity
Organization
Contact information
Practice address
2434 INTERSTATE PLAZA DR, HAMMOND, IN 46324-3361
(219) 989-3700
(219) 989-3900
Mailing address
2434 INTERSTATE PLAZA DR, HAMMOND, IN 46324-3361
(219) 989-3700
(219) 989-3900
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00263555
MEDICARE RAILROAD PIN
—
Enumeration date
05/27/2006
Last updated
08/22/2020
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