Organization
GREENWOOD MEDICAL LABORATORY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. J. EARL SMITH (OWNER/PRESIDENT)
(317) 881-4163
Entity
Organization
Contact information
Practice address
622 N MADISON AVE, GREENWOOD, IN 46142-4082
(317) 881-4163
(317) 885-6194
Mailing address
622 N MADISON AVE, GREENWOOD, IN 46142-4082
(317) 881-4163
(317) 885-6194
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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