Organization
HANCOCK HEALTH GATEWAY SERVICES, INC.
Active
Other names
Gateway Lab
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LONG (CEO)
(317) 468-4412
Entity
Organization
Contact information
Practice address
6189 W. JOHN L. MODGLIN DR., SUITE 102, GREENFIELD, IN 46140-9364
(317) 468-4412
Mailing address
6189 W. JOHN L. MODGLIN DR., SUITE 102, GREENFIELD, IN 46140-9364
(317) 468-4412
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
06/25/2019
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