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Organization

RIVERPOINTE CARDIOVASCULAR LABORATORY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARRYL R. BUSBY (EXECUTIVE ADMINISTRATOR)
(574) 296-3255
Entity
Organization

Contact information

Practice address
500 ARCADE BLVD., STE-410, ELKHART, IN 46514
(574) 389-0083
(574) 389-0082
Mailing address
PO BOX 2831, ELKHART, IN 46515-2831
(574) 389-0083
(574) 389-0082

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11-010807
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200201080
IN
Enumeration date
09/06/2006
Last updated
03/28/2011
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