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Organization

PARKVIEW PROFESSIONAL PROGRAMS, INC.

Active
Parent organization
PARKVIEW PROFESSIONAL PROGRAMS, INC.
Other names
Parkview Health Laboratories
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARKVIEW PROFESSIONAL PROGRAMS, INC.
Authorized official
MR. MIKE BROWNING (EXECUTIVE VP -- CFO)
(260) 373-8407
Entity
Organization

Contact information

Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 373-9420
(260) 373-9464
Mailing address
PO BOX 5600, FORT WAYNE, IN 46895-5600
(260) 373-7008
(260) 373-7059

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000097317
ANTHEM
01
1000514
TRICARE
05
100282380
IN
01
2814
PHP
05
2875661
OH
01
806088
BLACK LUNG
Enumeration date
10/03/2006
Last updated
12/19/2012
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