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Organization

PATIENTS CHOICE LABORATORIES OF INDIANA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRADLEY ALLEN MOSS (CEO)
(317) 850-9384
Entity
Organization

Contact information

Practice address
7026 CORPORATE DR, INDIANAPOLIS, IN 46278-1937
(317) 850-9384
Mailing address
7026 CORPORATE DR, INDIANAPOLIS, IN 46278-1937
(317) 850-9384

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
15D2070292
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201210830
IN
Enumeration date
01/03/2014
Last updated
04/10/2014
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