Organization
VANDERBURGH COUNTY
Active
Other names
Vanderburgh Co. Dept. of Health Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KENNETH SPEAR JR. M.D. (HEALTH OFFICER)
(812) 435-5684
Entity
Organization
Contact information
Practice address
420 MULBERRY ST, OAK PARK PROFESSIONAL BUILDING, EVANSVILLE, IN 47713-1231
(812) 435-5568
(812) 435-5468
Mailing address
420 MULBERRY ST, OAK PARK PROFESSIONAL BUILDING, EVANSVILLE, IN 47713-1231
(812) 435-5443
(812) 435-5468
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
15D0361375
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100284730
—
IN
Enumeration date
10/20/2006
Last updated
09/30/2020
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