Organization
IHEALTHCARE LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY YESSENOW MD (CEO)
(219) 922-4205
Entity
Organization
Contact information
Practice address
701 SUPERIOR AVE, SUITE M, MUNSTER, IN 46321-4029
(219) 924-1300
(219) 924-9406
Mailing address
701 SUPERIOR AVE, SUITE M, MUNSTER, IN 46321-4037
(219) 924-1300
(219) 924-9406
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IN
Other
Enumeration date
06/09/2006
Last updated
08/22/2020
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