Organization
HCMH DIVERSIFIED MANAGEMENT CORP INC
Active
Other names
HCMH Diversified Prof Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL F JANSSEN (PRESIDENT)
(765) 521-1508
Entity
Organization
Contact information
Practice address
2200 FOREST RIDGE PARKWAY, SUITE 300, NEW CASTLE, IN 47362-2943
(765) 521-1366
(765) 521-1555
Mailing address
PO BOX 653, NEW CASTLE, IN 47362-0653
(765) 521-1366
(765) 521-1555
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097943
ANTHEM
IN
Enumeration date
11/01/2006
Last updated
09/26/2007
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