Organization
INTEGRATED DIAGNOSTIC LABORATORY, LLC
Active
Other names
Integrated Diagnostic Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY BOCKELMAN (PRESIDENT)
(812) 450-5000
Entity
Organization
Contact information
Practice address
600 MARY STREET, EVANSVILLE, IN 47747-0001
(812) 450-5000
Mailing address
PO BOX 3024, EVANSVILLE, IN 47730-3024
(800) 467-2392
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
08/22/2020
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