Organization
LAFAYETTE CATH LAB, LLC
Active
Organization
LAFAYETTE CATH LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY D. SCHLAIFER MD (MEDICAL DIRECTOR)
(765) 428-2570
Entity
Organization
Contact information
Practice address
1116 N 16TH ST, LAFAYETTE, IN 47904-2119
(765) 428-2570
(765) 428-2580
Mailing address
1116 N 16TH ST, LAFAYETTE, IN 47904-2119
(765) 428-2570
(765) 428-2580
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198341
RAILROAD MEDICARE
IN
Enumeration date
06/15/2006
Last updated
08/22/2020
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