Organization
AXIS FORENSIC TOXICOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE PURDIE ANDREWS (VP, COO)
(317) 759-4869
Entity
Organization
Contact information
Practice address
2265 EXECUTIVE DR, INDIANAPOLIS, IN 46241-4352
(317) 759-4869
Mailing address
PO BOX 681513, INDIANAPOLIS, IN 46268-7513
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
9472384
IN
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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